NPI | 1013182047 |
---|---|
Doing Business As | IOLA PHARMACY CLINIC |
Entity Type | Organization |
Authorized Contact | JAMES BAUER Owner 620-365-9332 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: KS 210178) |
Additional Taxonomies | 3336C0002X Pharmacy, Clinic Pharmacy |
333600000X Pharmacy | |
Enumeration Date | 2008-04-30 |
Last Update Date | 2017-01-19 |