Individual
ALLEN JOHN CONRAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5811 ELMORE AVE, DAVENPORT, IA 52807-3513
(563) 359-4874
(563) 359-4876
Mailing address
1318 W 51ST ST, DAVENPORT, IA 52806-3669
(563) 505-7841
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
122
IA
Other
Enumeration date
04/08/2019
Last updated
04/08/2019
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