| NPI | 1902838444 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANY CHAMBERLAIN Doctor Of Pharmacy 319-393-0561 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: IA 19987) |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2020-08-22 |