| 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 |