| NPI | 1144327404 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES S HARTIG CEO 563-588-8700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy Long Term Care Pharmacy (Licence: IA 713) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2021-08-05 |