| NPI | 1093983397 |
|---|---|
| Other Name | EASY LIVING STORE |
| Entity Type | Organization |
| Authorized Contact | CRYSTAL E AUGUSTINE Controller 515-276-5040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site |
| Enumeration Date | 2008-02-20 |
| Last Update Date | 2008-02-20 |