| NPI | 1922045632 |
|---|---|
| Doing Business As | MERCYONE JESUP PHARMACY |
| Entity Type | Organization |
| Authorized Contact | TIMOTHY HUBER Controller 319-272-7600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: IA 432) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2019-10-02 |