| NPI | 1760248116 |
|---|---|
| Doing Business As | MAIN AT LOCUST PHARMACY |
| Entity Type | Organization |
| Authorized Contact | ANDREW PLOEHN Owner 563-340-8057 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2024-02-23 |
| Last Update Date | 2024-02-27 |