| NPI | 1265672224 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA JEAN DOLAN Health & Wellness Supervisor 515-440-4940 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: IA 01233) |
| Enumeration Date | 2009-03-03 |
| Last Update Date | 2009-03-03 |