Individual
SHANDA HILARY PTACEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1905 N 2ND ST, CLINTON, IA 52732-2537
(563) 243-2247
Mailing address
1905 N 2ND ST, CLINTON, IA 52732-2537
(563) 243-2247
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
22595
IA
Other
Enumeration date
07/30/2015
Last updated
07/30/2015
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