| NPI | 1841212966 |
|---|---|
| Doing Business As | WIDNER DRUG |
| Entity Type | Organization |
| Authorized Contact | JONATHAN KALLENBACH Owner Pharmacist In Charge 563-927-4463 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: IA 188) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2018-05-16 |