Individual
MRS. CAROL DERANLEAU FRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
1801 HICKMAN RD, DES MOINES, IA 50314-1548
(515) 282-2333
Mailing address
3310 NW 87TH LN, ANKENY, IA 50023-9407
(515) 964-1939
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14534
IA
Other
Enumeration date
08/22/2006
Last updated
07/08/2007
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