Sun Drug Village Square Ltd
Pharmacy, Community/Retail Pharmacy in Johnston, IA. Organization (NPI-2).
NPI number1801005368
StatusActive
Last updated in NPPESJun 30, 2008
Details
- NPI
- 1801005368
- Entity type
- Organization (NPI-2)
- Legal business name
- Sun Drug Village Square Ltd
- Organization subpart
- No
- Enumeration date
- May 22, 2007
- Last updated
- Jun 30, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | 1034 | IA | Yes |
Other names
- The Compounding Lab (Doing Business As)
Practice location
6105 Merle Hay RdJohnston, IA 50131-1224
Phone 515-278-5503
Mailing address
Po Box 288Johnston, IA 50131-0288
Authorized official
Steve Straw
Pharmacist
5152785503
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