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Individual

MR. GARY L LEVINE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
R.PH., CDM

Contact information

Practice address
4100 UNIVERSITY AVE, DES MOINES, IA 50311-3533
(515) 633-8606
(515) 866-6309
Mailing address
850 CUMMINS PKWY, DES MOINES, IA 50312-1133
(515) 277-7448

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16727
IA

Other

Enumeration date
02/04/2007
Last updated
07/08/2007
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