Individual
MALLORY EILTS-BRIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1831 LAKE AVE, STORM LAKE, IA 50588-7606
(712) 732-7960
Mailing address
4394 125TH AVE, SIOUX RAPIDS, IA 50585-9004
(712) 363-5421
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
22018
IA
Other
Enumeration date
04/28/2020
Last updated
04/28/2020
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