| NPI | 1851620066 |
|---|---|
| Doing Business As | MAIN AT LOCUST PHARMACY AND CLINIC |
| Entity Type | Organization |
| Authorized Contact | ANDREW PLOEHN Owner 563-324-5004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0002X Pharmacy, Clinic Pharmacy (Licence: IA 16D0922143) |
| Enumeration Date | 2009-12-17 |
| Last Update Date | 2024-02-23 |