Individual
LESLIE NOTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2323 W BROADWAY, COUNCIL BLUFFS, IA 51501-3602
(712) 322-3111
Mailing address
5118 COUNCIL POINTE RD, COUNCIL BLUFFS, IA 51501-8559
(641) 430-1030
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
22764
IA
Other
Enumeration date
03/27/2020
Last updated
03/27/2020
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