Individual
VIRGINIA KAY FIENUP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R. PH.
Contact information
Practice address
110 10TH ST SW, WAVERLY, IA 50677-2924
(319) 352-3126
Mailing address
4115 EASTPARK RD, CEDAR FALLS, IA 50613-7512
(319) 429-4509
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17437
IA
Other
Enumeration date
10/14/2019
Last updated
10/14/2019
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