| NPI | 1063534154 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL DEBUBGER Compouding Pharmacist 319-337-3536 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0004X Pharmacy Compounding Pharmacy (Licence: IA 1318) |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2023-09-29 |