NPI | 1336132588 |
---|---|
Doing Business As | NESSEN PHARMACY |
Entity Type | Organization |
Authorized Contact | MARK NESSEN President And Owner 641-872-2512 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: IA 595) |
Enumeration Date | 2005-08-23 |
Last Update Date | 2010-02-16 |