| NPI | 1912486226 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA RENEE MULL Director Of Pharmacy 563-505-3528 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy Long Term Care Pharmacy (Licence: IA 1656) |
| Enumeration Date | 2018-08-08 |
| Last Update Date | 2025-09-02 |