NPI | 1023505542 |
---|---|
Doing Business As | EVANS CROSSING PHARMACY |
Entity Type | Organization |
Authorized Contact | WESLEY CHARLES PILKINGTON Officer 319-233-3395 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: IA 1644) |
Additional Taxonomies | 261Q00000X Clinic/Center |
333600000X Pharmacy | |
Enumeration Date | 2018-04-19 |
Last Update Date | 2024-05-09 |