NPI | 1114923513 |
---|---|
Doing Business As | HALL PERRINE CANCER CENTER PHARMACY |
Entity Type | Organization |
Authorized Contact | TIMOTHY L CHARLES President And CEO 319-398-6697 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Additional Taxonomies | 333600000X Pharmacy (Licence: IA 1406) |
Enumeration Date | 2005-06-22 |
Last Update Date | 2021-08-23 |