Individual
NICOLE BACKHAUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
1221 CENTRAL AVE, ESTHERVILLE, IA 51334-2432
(712) 362-5551
Mailing address
1221 CENTRAL AVE, ESTHERVILLE, IA 51334-2432
(712) 362-5551
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
19790
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
278781
NABP
—
Enumeration date
03/12/2018
Last updated
03/12/2018
About Stedi
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