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Individual

MR. CASON WILLIAM WACKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARM. D.

Contact information

Practice address
1556 1ST AVE NE, CEDAR RAPIDS, IA 52402-5124
(319) 366-2239
Mailing address
700 ROSEDALE DR, CENTER POINT, IA 52213-9377
(319) 849-1655

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
19809
IA

Other

Enumeration date
04/09/2007
Last updated
07/08/2007
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