Individual
MR. MARK M ANLIKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
3204 1ST ST, EMMETSBURG, IA 50536-2515
(712) 852-2727
(712) 852-2975
Mailing address
3204 1ST ST, EMMETSBURG, IA 50536-2515
(712) 852-2727
(712) 852-2975
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15692
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15692
PHARMACIST LICENSE
IA
Enumeration date
12/05/2006
Last updated
07/08/2007
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