| NPI | 1114963592 |
|---|---|
| Doing Business As | MOVILLE PHARMACY INC |
| Entity Type | Organization |
| Authorized Contact | DEBORAH CARMAN Staff Pharmacist 712-873-3401 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: IA 57) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2011-03-02 |