NPI | 1619952926 |
---|---|
Doing Business As | MERCYONE CLIVE PHARMACY |
Entity Type | Organization |
Authorized Contact | KURT ANDERSEN President 515-358-9200 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: IA 1193) |
Additional Taxonomies | 333600000X Pharmacy |
3336C0002X Pharmacy, Clinic Pharmacy | |
Enumeration Date | 2005-12-08 |
Last Update Date | 2024-10-21 |