| NPI | 1255345518 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE S GOLDBERG President 712-322-6448 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: IA 1007) |
| Enumeration Date | 2006-07-29 |
| Last Update Date | 2008-04-20 |