NPI | 1235635285 |
---|---|
Doing Business As | DES MOINES CENTRAL CORRECTIONAL PHARMACY |
Entity Type | Organization |
Authorized Contact | KATHY LEE Pharmacy Supervisor 515-725-5065 |
Organization Subpart ? | No |
Primary Taxonomy | 3336I0012X Pharmacy, Institutional Pharmacy (Licence: IA 1456) |
Additional Taxonomies | 333600000X Pharmacy |
Enumeration Date | 2018-03-30 |
Last Update Date | 2018-03-30 |