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 |