Individual
AUSTIN ALAN RESOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
15601 HICKMAN RD, CLIVE, IA 50325-7985
(515) 987-6807
Mailing address
930 39TH ST, DES MOINES, IA 50312-3104
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
23073
IA
Other
Enumeration date
12/12/2019
Last updated
12/12/2019
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