| NPI | 1881766400 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENAE IRENE ELIZABETH KRUCKENBERG CFO 515-576-6500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0002X Pharmacy, Clinic Pharmacy (Licence: IA 1300) |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2022-02-04 |