| NPI | 1376055616 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROCKFORD ANDERSON President 515-963-1640 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: IA 1622) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy | |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| Enumeration Date | 2017-10-26 |
| Last Update Date | 2019-06-11 |