Bauder Pharmacy
Pharmacy, Home Infusion Therapy Pharmacy in Des Moines, IA. Organization (NPI-2).
NPI number1801040720
StatusActive
Last updated in NPPESNov 5, 2008
Details
- NPI
- 1801040720
- Entity type
- Organization (NPI-2)
- Legal business name
- Bauder Pharmacy
- Organization subpart
- No
- Enumeration date
- Nov 5, 2008
- Last updated
- Nov 5, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336H0001X | Pharmacy, Home Infusion Therapy Pharmacy | 222 | IA | Yes |
Practice location
3802 Ingersoll AveDes Moines, IA 50312-3413
Phone 515-255-1124
Mailing address
3802 Ingersoll AveDes Moines, IA 50312-3413
Phone 515-255-1124
Authorized official
Mark Graziano
Owner
5152551124
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