Individual
MR. GARY CHARLES PAUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
2414 335TH ST, MISSOURI VALLEY, IA 51555-8070
(712) 310-9136
Mailing address
2414 335TH ST, MISSOURI VALLEY, IA 51555-8070
(712) 310-9136
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
12293
NE
183500000X
Pharmacist
Primary
17473
IA
Other
Enumeration date
02/09/2012
Last updated
02/09/2012
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