| NPI | 1285732503 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRAIG LEO CLARK R.Ph. / Owner 319-393-3210 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: IA 566) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2009-07-28 |