Individual
MERRILL MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
495 WASHINGTON ST, KALONA, IA 52247-9527
(319) 594-8153
Mailing address
495 WASHINGTON ST, KALONA, IA 52247-9527
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
23503
IA
Other
Enumeration date
03/10/2022
Last updated
03/10/2022
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