| NPI | 1194380717 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRYSTAL ANN SMITH Director Of Pharmacy Services 563-690-2433 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2019-05-08 |
| Last Update Date | 2026-04-17 |