Individual
MICHELLE ANN PRULL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
124 S MAIN ST, MAQUOKETA, IA 52060-3034
(563) 652-5611
Mailing address
14600 69TH ST, MAQUOKETA, IA 52060-9201
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18012
IA
Other
Enumeration date
09/22/2006
Last updated
07/08/2007
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