| NPI | 1508972316 |
|---|---|
| Doing Business As | MED-EQUIP PHARMACY #0 |
| Entity Type | Organization |
| Authorized Contact | WALLY J. TSCHOPP Owner 712-728-2165 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: IA 648) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: IA 648) |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2023-03-07 |