| NPI | 1528137015 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT P REHAL VP 712-258-0113 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: IA 667) |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2012-10-04 |