KJAA INC
320 6th Ave
Grinnell, IA 50112
641-236-3663
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 3336C0003X | Suppliers - Pharmacy - Community/Retail Pharmacy | IA | 537 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
0423228 | IA | MEDICAID | |
NCPDP # | 1621778 | IA | OTHER |
DEA # | BM6636091 | IA | OTHER |