Individual
JONATHAN KALLENBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
303 W MAIN ST, ANAMOSA, IA 52205-1190
(563) 875-7455
Mailing address
303 W MAIN ST, ANAMOSA, IA 52205-1190
(319) 462-3306
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
21239
IA
Other
Enumeration date
12/04/2023
Last updated
12/04/2023
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