| NPI | 1013928522 |
|---|---|
| Doing Business As | SCOTT DRUG CLINIC PHARMACY |
| Entity Type | Organization |
| Authorized Contact | DENNIS BOUSSELOT President 563-659-5042 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy (Licence: IA 1228) |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2007-08-28 |