Individual
KACIE M BOHLKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD.
Contact information
Practice address
4650 MORNINGSIDE AVE, SIOUX CITY, IA 51106-2964
(712) 276-7744
Mailing address
320 DAKOTA DUNES BLVD, #310, DAKOTA DUNES, SD 57049-5340
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
13201
NE
183500000X
Pharmacist
Primary
21083
IA
Other
Enumeration date
10/31/2011
Last updated
10/31/2011
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