Individual
MR. MICHAEL AKIRA CUESTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1559 NW 80TH ST, CLIVE, IA 50325-1227
(515) 306-0958
Mailing address
1559 NW 80TH ST, CLIVE, IA 50325-1227
(515) 306-0958
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18582
IA
Other
Enumeration date
09/17/2007
Last updated
09/17/2007
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