| NPI | 1669602165 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN EUGENE BURR Secretary 712-310-4701 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2009-07-17 |
| Last Update Date | 2024-12-04 |