NPI | 1992710537 |
---|---|
Doing Business As | YOUR MED PHARMACY |
Entity Type | Organization |
Authorized Contact | MICHAEL WOLNCAAN Owner 515-276-1594 |
Organization Subpart ? | No |
Primary Taxonomy | 333600000X Pharmacy (Licence: IA 969) |
Additional Taxonomies | 3336L0003X Pharmacy, Long Term Care Pharmacy |
Enumeration Date | 2006-07-30 |
Last Update Date | 2020-08-22 |