Individual
TRAM QUACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
608 SOUTH 18TH STREET, GRIMES, IA 50111
(515) 289-6209
Mailing address
608 SOUTH 18TH STREET, GRIMES, IA 50111
(515) 289-6209
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
20478
IA
Other
Enumeration date
12/15/2008
Last updated
12/15/2008
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