NPI | 1023505542 |
---|---|
Doing Business As | EVANS CROSSING PHARMACY |
Entity Type | Organization |
Authorized Contact | ROBERT GREENWOOD Owner 319-236-6673 |
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 | 2023-05-25 |