| NPI | 1932471109 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAYLA RENEE TOTT Pharmacist 319-433-0490 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: IA 21341) |
| Enumeration Date | 2012-02-03 |
| Last Update Date | 2012-02-03 |