| NPI | 1508985508 |
|---|---|
| Doing Business As | IDA GROVE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | RUSSELL CLINTON SPOTTS Pharmacist 712-364-2734 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: IA 768) |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2020-08-22 |