NPI | 1952494114 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVID EASTON Owner And Pharmacist 712-262-5290 |
Organization Subpart ? | No |
Primary Taxonomy | 333600000X Pharmacy (Licence: IA 331) |
Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Enumeration Date | 2006-10-02 |
Last Update Date | 2020-08-22 |