Individual
KATIE SALLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1220 W MAIN ST, MANCHESTER, IA 52057-2305
(563) 927-4988
Mailing address
3535 28TH AVE, MARION, IA 52302-1481
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
22446
IA
Other
Enumeration date
06/11/2020
Last updated
06/11/2020
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