Individual
STEVEN DONNELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1704 INGERSOLL AVE STE 102, DES MOINES, IA 50309-3332
(515) 657-8896
(515) 657-8897
Mailing address
1704 INGERSOLL AVE STE 102, DES MOINES, IA 50309-3332
(515) 657-8896
(515) 657-8897
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
21614
IA
183500000X
Pharmacist
48953
TX
Other
Enumeration date
12/05/2011
Last updated
07/01/2020
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