| NPI | 1023551819 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARISSA SMITH VP/Chief Compliance Officer 515-557-3236 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336S0011X Pharmacy, Specialty Pharmacy (Licence: IA 11) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: IA 11) |
| Enumeration Date | 2016-11-28 |
| Last Update Date | 2021-07-14 |