NPI | 1962573774 |
---|---|
Doing Business As | MERCY FAMILY PHARMACY WEST |
Entity Type | Organization |
Authorized Contact | KAY TAKES President 563-589-8061 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: IA 879) |
Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy |
333600000X Pharmacy | |
Enumeration Date | 2006-11-13 |
Last Update Date | 2019-11-25 |