| NPI | 1154020402 |
|---|---|
| Doing Business As | SERVIAM PHARMACY OF COUNCIL BLUFFS |
| Entity Type | Organization |
| Authorized Contact | DOUGLAS ROBERT RUSSELL Owner / Managing Partner 502-817-8620 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2023-02-27 |
| Last Update Date | 2023-02-27 |