NPI | 1144732330 |
---|---|
Doing Business As | WIDNER DRUG |
Entity Type | Organization |
Authorized Contact | JONATHAN KALLENBACH Owner/Pharmacist 563-249-5679 |
Organization Subpart ? | No |
Primary Taxonomy | 333600000X Pharmacy (Licence: IA 1617) |
Enumeration Date | 2017-10-29 |
Last Update Date | 2017-10-29 |