| NPI | 1679552004 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEGAN MANDERSCHEID President 319-438-1988 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: IA 797) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy | |
| Enumeration Date | 2006-01-13 |
| Last Update Date | 2021-04-12 |