Individual
ETHAN MIDDLETON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
101 E MAIN ST, LAMONI, IA 50140-1241
(641) 784-6322
(641) 784-6322
Mailing address
101 E MAIN ST, LAMONI, IA 50140-1241
(641) 784-6322
(641) 784-6322
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
23407
IA
Other
Enumeration date
04/23/2020
Last updated
04/23/2020
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