NPI | 1235245051 |
---|---|
Doing Business As | MED-EQUIP HOMECARE PHARMACY #3 |
Entity Type | Organization |
Authorized Contact | WALLY J. TSCHOPP Owner 712-728-2165 |
Organization Subpart ? | No |
Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: IA 1107) |
Additional Taxonomies | 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy (Licence: IA 1107) |
3336H0001X Pharmacy, Home Infusion Therapy Pharmacy (Licence: MN 2613819) | |
3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: MN 2613819) | |
332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment | |
332B00000X Durable Medical Equipment & Medical Supplies | |
Enumeration Date | 2006-08-22 |
Last Update Date | 2023-03-07 |