Individual
BROCK DANTUMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 356-1616
Mailing address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
23657
IA
Other
Enumeration date
03/17/2020
Last updated
03/17/2020
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