Individual
KRISTEN SAMPLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
905 W US HIGHWAY 30, CARROLL, IA 51401-2138
(712) 792-9093
(712) 792-7815
Mailing address
905 W US HIGHWAY 30, CARROLL, IA 51401-2138
(712) 792-9093
(712) 792-7815
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
21875
IA
Other
Enumeration date
02/05/2020
Last updated
02/05/2020
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