Organization
TARGET
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINA NEVE (PHARMACY MANAGER)
(319) 248-1080
Entity
Organization
Contact information
Practice address
1441 CORAL RIDGE AVE, CORALVILLE, IA 52241-2801
(319) 248-1080
(319) 248-1081
Mailing address
1441 CORAL RIDGE AVE, CORALVILLE, IA 52241-2801
(319) 248-1080
(319) 248-1081
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
1383
IA
Other
Enumeration date
02/04/2015
Last updated
02/04/2015
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