Individual
ABBY DISTERHOFT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1035 COURT AVE, MARENGO, IA 52301-1439
(319) 741-6300
Mailing address
1035 COURT AVE, MARENGO, IA 52301-1439
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
24575
IA
Other
Enumeration date
01/16/2023
Last updated
01/16/2023
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