Individual
TIMOTHY DALE BECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1010 4TH ST SW, SUITE 110, MASON CITY, IA 50401-2857
(641) 422-6109
(641) 422-6107
Mailing address
1010 4TH ST SW, SUITE 110, MASON CITY, IA 50401-2857
(641) 422-6109
(641) 422-6107
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15455
IA
Other
Enumeration date
08/08/2006
Last updated
07/08/2007
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