| NPI | 1134286875 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT G. EGELAND Vice President, Pharmacy 515-453-2784 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: SD 1001921) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: SD 100-1921) |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2023-10-04 |