| NPI | 1174616650 |
|---|---|
| Doing Business As | CAREPRO PHARMACY - A AVENUE |
| Entity Type | Organization |
| Authorized Contact | MICHELLE M. JENSEN CEO 319-363-4554 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: IA 427) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IA 427) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2015-07-31 |