| NPI | 1497796783 |
|---|---|
| Doing Business As | MERCYONE LAPORTE CITY PHARMACY |
| Entity Type | Organization |
| Authorized Contact | TIMOTHY HUBER Controller 319-272-7600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: IA 827) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2019-10-02 |