| NPI | 1073810495 |
|---|---|
| Doing Business As | CAMANCHE DRUG STORE |
| Entity Type | Organization |
| Authorized Contact | KAREN BARK President 563-321-6324 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: IA 140) |
| Enumeration Date | 2011-02-21 |
| Last Update Date | 2012-01-13 |