Individual
LATHAM KIRK HENDRICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2719 GRAND AVE, AMES, IA 50010-4659
(515) 232-8284
Mailing address
3412 EMERALD DR, AMES, IA 50010-8539
(970) 237-1495
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
24592
IA
Other
Enumeration date
10/21/2022
Last updated
10/21/2022
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