NPI | 1538647797 |
---|---|
Doing Business As | HOLSTEIN COMMUNITY PHARMACY |
Entity Type | Organization |
Authorized Contact | GARY W JORDAN CEO 712-221-9001 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
333600000X Pharmacy (Licence: IA 1654) | |
3336L0003X Pharmacy, Long Term Care Pharmacy | |
Enumeration Date | 2018-07-31 |
Last Update Date | 2022-09-12 |