Individual
EMMILYNE HAVING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 N PARK DR, KEOKUK, IA 52632-2200
(319) 524-4071
Mailing address
300 N PARK DR, KEOKUK, IA 52632-2200
(319) 524-4071
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
22648
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22648
IOWA LICENSE
IA
Enumeration date
05/24/2019
Last updated
05/24/2019
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