NPI | 1720406598 |
---|---|
Doing Business As | CAREPRO PHARMACY - MT VERNON |
Entity Type | Organization |
Authorized Contact | MICHELLE M. JENSEN CEO 319-363-4554 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: IA 800) |
Enumeration Date | 2014-03-31 |
Last Update Date | 2015-07-31 |