| NPI | 1104789619 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN DOUGLAS BENSON Executive Director Of Pharmacy 515-241-3411 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2025-12-03 |
| Last Update Date | 2025-12-03 |