Individual
REBECCA MAX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2803 E KANESVILLE BLVD, COUNCIL BLUFFS, IA 51503-1004
(712) 325-0987
(847) 396-2530
Mailing address
2803 E KANESVILLE BLVD, COUNCIL BLUFFS, IA 51503-1004
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
21728
IA
Other
Enumeration date
05/11/2016
Last updated
05/11/2016
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