Individual
MR. JAMES STEWART MASENGARB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
201 S CENTRAL AVE, BURLINGTON, IA 52601-5738
(319) 753-1639
Mailing address
601 SOUTH ST, BURLINGTON, IA 52601-5950
(319) 752-7929
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
M13506
IA
Other
Enumeration date
01/20/2012
Last updated
01/20/2012
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