| NPI | 1124268396 |
|---|---|
| Doing Business As | CHEROKEE MAIN STREET PHARMACY |
| Entity Type | Organization |
| Authorized Contact | GARY W JORDAN CEO 712-225-2320 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy (Licence: IA 1356) | |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| 3336L0003X Pharmacy, Long Term Care Pharmacy | |
| Enumeration Date | 2009-03-02 |
| Last Update Date | 2022-09-12 |