| NPI | 1679340814 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADAM JAMES FREED Partner 515-699-3277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 305S00000X Point of Service |
| Enumeration Date | 2023-12-07 |
| Last Update Date | 2023-12-19 |