| NPI | 1265573125 |
|---|---|
| Doing Business As | SAMPLE MEDICAL PHARMACY |
| Entity Type | Organization |
| Authorized Contact | HARRIETT A MORRIS President 319-377-1533 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332BN1400X Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies |
| 333600000X Pharmacy (Licence: IA 295) | |
| 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: IA 295) | |
| 3336C0004X Pharmacy, Compounding Pharmacy (Licence: IA 295) | |
| 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: IA 295) | |
| 335E00000X Prosthetic/Orthotic Supplier | |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2020-08-22 |