Individual
MS. MICHELLE SUZANNE CARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
101 115TH ST, ANAMOSA, IA 52205-7976
(319) 462-4314
(319) 462-5742
Mailing address
10502 246TH AVE, ANAMOSA, IA 52205-7859
(319) 721-7027
(319) 462-5742
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18014
IA
Other
Enumeration date
06/06/2020
Last updated
06/06/2020
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