Individual
MR. GUS T ERICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
3450 4TH ST SW, MASON CITY, IA 50401-1501
(641) 423-1325
(641) 423-1325
Mailing address
3450 4TH ST SW, MASON CITY, IA 50401-1501
(641) 423-1325
(641) 423-1325
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12893
IA
Other
Enumeration date
07/11/2011
Last updated
07/11/2011
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