| NPI | 1639588262 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA HAHN Owner 712-224-6337 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0004X Pharmacy, Compounding Pharmacy (Licence: IA 1505) |
| Enumeration Date | 2014-08-07 |
| Last Update Date | 2014-08-07 |