Individual
DR. EMILY KWAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
2751 HEARTLAND DR, CORALVILLE, IA 52241-2731
(319) 545-4600
Mailing address
2751 HEARTLAND DR, CORALVILLE, IA 52241-2731
(319) 545-4600
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
361924025
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20822
PHARMACY LICENSE
IA
Enumeration date
09/07/2011
Last updated
09/07/2011
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