Individual
DR. TYLER JUSTIN BRAKKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
2216 MAIN ST, EMMETSBURG, IA 50536-2447
(712) 852-2886
Mailing address
202 SUNSET CIR, EMMETSBURG, IA 50536-1076
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
24166
IA
Other
Enumeration date
07/23/2021
Last updated
11/20/2021
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