| NPI | 1023462355 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRESTON J WITT Pharmacist Manager 515-270-2623 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: IA 16824) |
| Enumeration Date | 2016-04-23 |
| Last Update Date | 2016-04-23 |