| NPI | 1801040720 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK GRAZIANO Owner 515-255-1124 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy (Licence: IA 222) |
| Enumeration Date | 2008-11-05 |
| Last Update Date | 2008-11-05 |