Individual
MR. DAVE CURTIS LUNDBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2250 41ST ST, MOLINE, IL 61265-4504
(309) 736-7182
Mailing address
2250 41ST ST, MOLINE, IL 61265-4504
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051038252
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1144488750
—
IL
Enumeration date
12/11/2020
Last updated
12/11/2020
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