| NPI | 1316277874 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT EGELAND V. President, Pharmacy 515-453-2784 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: NE 2004) |
| Additional Taxonomies | 3336L0003X Pharmacy Long Term Care Pharmacy (Licence: NE 2004) |
| Enumeration Date | 2010-01-06 |
| Last Update Date | 2023-10-04 |