Individual
ROB BOULTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
517 GARDEN ST, IOWA CITY, IA 52245-4560
(319) 430-6379
Mailing address
517 GARDEN ST, IOWA CITY, IA 52245-4560
(319) 430-6379
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
—
—
Other
Enumeration date
01/11/2021
Last updated
01/11/2021
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