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Individual

DR. COURTNEY MARIE CARTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHARMD, RPH

Contact information

Practice address
302 ENTERPRISE DR, WALMART PHARMACY, INDEPENDENCE, IA 50644-9601
(319) 334-7131
(319) 334-7133
Mailing address
302 ENTERPRISE DR, WALMART PHARMACY, INDEPENDENCE, IA 50644-9601
(319) 334-7131
(319) 334-7133

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
118334
MN
183500000X
Pharmacist
Primary
20965
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
118334
STATE LICENSE
MN
01
20965
STATE LICENSE
IA
Enumeration date
01/11/2009
Last updated
12/13/2012
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