| NPI | 1972615821 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL EDWARD O'ROURKE Pharmacist Owner 641-622-3020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: IA 171) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2008-08-14 |