Individual
MRS. ALICE F TIBBEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.PH
Contact information
Practice address
105 LINCOLN WAY, AMES, IA 50010-3323
(515) 232-1653
(515) 232-3382
Mailing address
720 CHEROKEE ST, NEVADA, IA 50201-7972
(515) 382-8144
(515) 232-3382
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16615
IA
Other
Enumeration date
11/21/2006
Last updated
07/08/2007
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