NPI | 1235323288 |
---|---|
Doing Business As | MAIN COMPOUNDING PHARMACY |
Entity Type | Organization |
Authorized Contact | ANDREW PLOEHN Owner 563-324-5004 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0004X Pharmacy, Compounding Pharmacy (Licence: IA 1325) |
Enumeration Date | 2007-09-04 |
Last Update Date | 2024-02-23 |