NPI | 1194855569 |
---|---|
Entity Type | Organization |
Authorized Contact | SUSAN HORTON Owner Pharmacist 515-252-7688 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0004X Pharmacy, Compounding Pharmacy (Licence: IA 762) |
Enumeration Date | 2007-03-06 |
Last Update Date | 2014-06-11 |