| NPI | 1821189366 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN P. EBY President 712-644-2848 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: IA 603) |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2011-05-12 |