| NPI | 1689695637 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY HALEY Manager 319-295-9365 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336M0003X Pharmacy Managed Care Organization Pharmacy (Licence: IA 825) |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2009-07-31 |