| NPI | 1871538298 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DALE BARTEL Owner 712-225-6121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: IA 811) |
| Enumeration Date | 2006-06-19 |
| Last Update Date | 2020-08-22 |