| NPI | 1306304027 |
|---|---|
| Doing Business As | NORTH DODGE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | SURESH GUNASEKARAN CEO 319-353-7516 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0002X Pharmacy, Clinic Pharmacy |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| 333600000X Pharmacy | |
| Enumeration Date | 2019-03-12 |
| Last Update Date | 2019-03-12 |