NPI: 1417121112 · WEST DES MOINES, IA 50266 · Community/Retail Pharmacy · NPI assigned 04/15/2008
| Authorized Official | EGELAND, ROBERT (ASST. VICE PRESIDENT) |
| NPI Enumeration Date | 04/15/2008 |
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 23 | $0.00 |
| 2020 | 30 | $0.00 |
| 2021 | 73 | $0.00 |
| 2022 | 35 | $0.00 |