Individual
PHILLIP HAAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3208 S 25TH AVE, ELDRIDGE, IA 52748-9306
(563) 370-2923
Mailing address
3208 S 25TH AVE, ELDRIDGE, IA 52748-9306
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17504
IA
Other
Enumeration date
06/09/2020
Last updated
06/09/2020
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