Individual
MRS. TIFFANY LISA TEDESCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
1801 HICKMAN RD, DES MOINES, IA 50314-1548
(515) 282-2470
Mailing address
8967 NW BEAVER DR, JOHNSTON, IA 50131-1906
(515) 253-2652
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18775
IA
Other
Enumeration date
08/28/2006
Last updated
07/08/2007
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