| NPI | 1801977335 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES R MILLER Administrator 712-324-5041 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336I0012X Pharmacy Institutional Pharmacy (Licence: IA 905) |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2023-11-27 |