Individual
CORY SUEPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2729 OUTER DR N, SIOUX CITY, IA 51104-1590
(402) 239-2051
Mailing address
2729 OUTER DR N, SIOUX CITY, IA 51104-1590
(402) 239-2051
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
22441
IA
Other
Enumeration date
09/23/2019
Last updated
09/23/2019
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