| NPI | 1609936962 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WARREN A NARDUCCI President 712-246-3440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: IA 156) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: IA 156) |
| Enumeration Date | 2006-12-09 |
| Last Update Date | 2020-08-22 |