| NPI | 1124496815 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHAD M WOLBERS President/CEO 563-589-2414 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: IA 310020H) |
| Additional Taxonomies | 3336C0002X Pharmacy, Clinic Pharmacy |
| Enumeration Date | 2015-09-11 |
| Last Update Date | 2019-06-11 |