Individual
EDWARD MCKENNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
409 W 5TH ST, STORM LAKE, IA 50588-1725
(712) 732-3985
(712) 732-2627
Mailing address
1209 W 6TH ST, STORM LAKE, IA 50588-2909
(712) 369-0744
(712) 732-4645
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15124
IA
Other
Enumeration date
04/16/2020
Last updated
04/16/2020
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