| NPI | 1710995758 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERALD W WHEELER President 563-242-1724 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0002X Pharmacy, Clinic Pharmacy (Licence: IA 75) |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2011-06-27 |