Individual
MR. RANDALL FOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3600 30TH ST, DES MOINES, IA 50310-5753
(515) 699-5999
Mailing address
7205 REITE AVE, WINDSOR HEIGHTS, IA 50311-1303
(515) 699-5999
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15487
IA
Other
Enumeration date
08/10/2006
Last updated
07/08/2007
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