Individual
PAYTON AUGUSTINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1970 FALCON RDG, WATERLOO, IA 50701-9343
(319) 290-8857
Mailing address
1970 FALCON RDG, WATERLOO, IA 50701-9343
(319) 290-8857
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
24146
IA
Other
Enumeration date
09/08/2021
Last updated
09/08/2021
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