NPI | 1235173451 |
---|---|
Doing Business As | PEXTON PHARMACY |
Entity Type | Organization |
Authorized Contact | RICHARD LEE DOTZLER President 712-755-2101 |
Organization Subpart ? | No |
Primary Taxonomy | 333600000X Pharmacy (Licence: IA 1197) |
Additional Taxonomies | 3336L0003X Pharmacy Long Term Care Pharmacy (Licence: IA 1197) |
Enumeration Date | 2006-06-16 |
Last Update Date | 2016-08-12 |