| NPI | 1174630735 |
|---|---|
| Doing Business As | SCOTT THRIFTY WHITE DRUG |
| Entity Type | Organization |
| Authorized Contact | DENNIS BOUSSELOT Pres 563-659-5042 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: IA 280) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2010-03-17 |