| NPI | 1700809407 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE E CONRAD Director Of Pharmacy 515-573-6015 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy Long Term Care Pharmacy (Licence: IA 450) |
| Additional Taxonomies | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2025-08-21 |