Individual
CONNIE JO CONNOLLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
918 W PLATT ST, SUITE 2, MAQUOKETA, IA 52060-2038
(563) 652-5611
(563) 652-6242
Mailing address
1620 15TH AVE, DE WITT, IA 52742-1087
(563) 659-2106
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17824
IA
Other
Enumeration date
09/22/2006
Last updated
10/27/2008
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