NPI | 1619012382 |
---|---|
Entity Type | Organization |
Authorized Contact | RIC E. FOREMAN President 319-233-3395 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: IA 513) |
Enumeration Date | 2007-02-21 |
Last Update Date | 2020-08-22 |