Individual
MRS. BRENDA JEAN FOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
514 W MAIN ST, SAC CITY, IA 50583-1727
(712) 662-7146
Mailing address
356 AUSTIN ST, ROCKWELL CITY, IA 50579-1027
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17633
IA
Other
Enumeration date
06/21/2006
Last updated
07/08/2007
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