NPI | 1487944856 |
---|---|
Entity Type | Organization |
Authorized Contact | BRENT ROBERT FEICKERT Chief Financial Officer 641-469-4304 |
Organization Subpart ? | No |
Primary Taxonomy | 3336I0012X Pharmacy Institutional Pharmacy (Licence: IA 525) |
Additional Taxonomies | 333600000X Pharmacy |
Enumeration Date | 2011-04-19 |
Last Update Date | 2025-05-30 |