Individual
ANGELA JOY WAHLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
409 S LOCUST ST, GLENWOOD, IA 51534-1826
(712) 527-4006
(712) 527-4113
Mailing address
18770 238TH ST, COUNCIL BLUFFS, IA 51503-7511
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12569
NE
183500000X
Pharmacist
20522
IA
Other
Enumeration date
09/20/2006
Last updated
01/21/2011
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