Organization
A TECH INC
Active
Other names
Easy Living Store
Organization subpart
No
Provider details
NPI number
Authorized official
CRYSTAL E AUGUSTINE (CONTROLLER)
(515) 276-5040
Entity
Organization
Contact information
Practice address
10409 HICKMAN RD, DES MOINES, IA 50322-3727
(515) 276-5040
(515) 276-9331
Mailing address
10409 HICKMAN RD, DES MOINES, IA 50322-3727
(515) 276-5040
(515) 276-9331
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
IA
Other
Enumeration date
02/20/2008
Last updated
02/20/2008
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