| NPI | 1265682256 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TODD THOMPSON Owner 319-653-1043 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy Long Term Care Pharmacy (Licence: IA 1350) |
| Enumeration Date | 2008-09-25 |
| Last Update Date | 2012-05-21 |