| NPI | 1205335932 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD A RIESBERG Office Manager 319-824-5446 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: IA 834) |
| Enumeration Date | 2018-02-08 |
| Last Update Date | 2018-02-08 |