Individual
DR. PAULA ANN CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1208 W NISHNA RD, SHENANDOAH, IA 51601-2116
(712) 246-3440
Mailing address
1208 W NISHNA RD, SHENANDOAH, IA 51601-2116
(712) 246-3440
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
12299
NE
183500000X
Pharmacist
Primary
19976
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0013862
—
IA
Enumeration date
12/06/2006
Last updated
07/08/2007
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