KIMWOOD, INC.
316 Broadway St
Audubon, IA 50025
712-563-2655
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 3336C0003X | Suppliers - Pharmacy - Community/Retail Pharmacy | IA | 813 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
0254383 | IA | MEDICAID | |
NCPDP # | 1614329 | IA | OTHER |
DEA # | BM1187992 | IA | OTHER |