| NPI | 1700941200 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI ANN WILLIS Acquisitions Manager 641-366-3440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: IL 054.018037) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-12-26 |
| Last Update Date | 2017-12-21 |