Individual
DR. ZACHARIAH DALE IVERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
131 3RD ST, TRACY, MN 56175-1211
(507) 629-3801
Mailing address
1207 260TH AVE, GARVIN, MN 56132-9778
(507) 828-8234
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
123312
MN
183500000X
Pharmacist
6490
MN
Other
Enumeration date
07/05/2017
Last updated
07/05/2017
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