Organization
KEASLINGS CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
H. WESLEY BROWN RPH (PHARMACIST IN CHARGE/OWNER)
(319) 524-5435
Entity
Organization
Contact information
Practice address
1414 MAIN ST, KEOKUK, IA 52632-3926
(319) 524-5435
(319) 524-5710
Mailing address
1414 MAIN ST, KEOKUK, IA 52632-3926
(319) 524-5435
(319) 524-5710
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12020
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0028191
—
IA
05
—
60058507
—
MO
Enumeration date
09/21/2006
Last updated
11/23/2010
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