NPI | 1700809407 |
---|---|
Doing Business As | FRIENDSHIP HAVEN PHARMACY |
Entity Type | Organization |
Authorized Contact | NICOLE CONRAD Director Of Phcy 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 | 2016-12-09 |