| NPI | 1619952926 |
|---|---|
| Doing Business As | MERCYONE CLIVE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | MICHAEL WEGNER Interim President 515-247-4278 |
| 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 | 2022-09-29 |