| NPI | 1629224886 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN MATHES Commandant 641-752-1501 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2008-08-07 |
| Last Update Date | 2022-07-21 |