NPI | 1134204738 |
---|---|
Doing Business As | FOREST PARK PHARMACY |
Entity Type | Organization |
Authorized Contact | MARK TRAMMEL Asst Treasurer 641-428-7984 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: IA 269) |
Additional Taxonomies | 333600000X Pharmacy |
Enumeration Date | 2006-10-25 |
Last Update Date | 2024-10-10 |