| NPI | 1093750416 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES ALAN ROBINSON Pharmacist 712-362-3154 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: IA 733) |
| Additional Taxonomies | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition |
| 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies | |
| Enumeration Date | 2006-06-19 |
| Last Update Date | 2018-10-29 |