NPI | 1801900642 |
---|---|
Entity Type | Organization |
Authorized Contact | AMANDA RENEE MULL Director Of Pharmacy 563-505-3528 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2006-08-18 |
Last Update Date | 2024-08-05 |