Individual
ROGERIO MABOTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1107 E ARMY POST RD, DES MOINES, IA 50315-5942
(515) 287-1022
Mailing address
1107 E ARMY POST RD, DES MOINES, IA 50315-5942
(515) 287-1022
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
19148
IA
Other
Enumeration date
08/10/2018
Last updated
08/10/2018
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