| NPI | 1417121112 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT G. EGELAND Asst. Vice President 515-453-2784 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2008-04-15 |
| Last Update Date | 2023-10-04 |