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Individual

MICHAEL PRICE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
2701 W BURLINGTON AVE, FAIRFIELD, IA 52556-2645
(641) 472-6199
(641) 472-6147
Mailing address
2701 W BURLINGTON AVE, FAIRFIELD, IA 52556-2645
(641) 472-6199
(641) 472-6147

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
23409
IA

Other

Enumeration date
04/15/2019
Last updated
04/15/2019
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