NPI | 1134127442 |
---|---|
Doing Business As | UNITED MED PARK CLINIC PHARMACY |
Entity Type | Organization |
Authorized Contact | LAURA GANSEN Pharmacy COO Rdinator PIC 319-833-5725 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: IA 1028) |
Enumeration Date | 2005-07-11 |
Last Update Date | 2007-09-13 |