| NPI | 1376615310 |
|---|---|
| Doing Business As | IOLA PHARMACY RESPIRATORY & MEDICAL |
| Entity Type | Organization |
| Authorized Contact | JEFFREY D DIEKER Owner 620-365-3377 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: KS 1-11211) |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2007-10-24 |