| NPI | 1801900642 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BECKY JAYNE REUTZEL Owner President 319-364-4181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: IA 160) |
| Additional Taxonomies | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2009-05-18 |