NPI | 1669414447 |
---|---|
Doing Business As | GLENWOOD RESOURCE CENTER PHARMACY |
Entity Type | Organization |
Authorized Contact | GARY ANDERS Superintendent Of Facility 712-525-1251 |
Organization Subpart ? | No |
Primary Taxonomy | 3336I0012X Pharmacy, Institutional Pharmacy |
Additional Taxonomies | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: IA 559) |
Enumeration Date | 2006-06-13 |
Last Update Date | 2014-09-04 |