Individual
ANNA PIETIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
105 E 6TH ST, CARROLL, IA 51401-2418
(712) 792-4566
(712) 792-9842
Mailing address
1113 AVENUE K, CARTER LAKE, IA 51510-1390
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
14500
NE
183500000X
Pharmacist
Primary
22184
IA
Other
Enumeration date
08/21/2014
Last updated
08/21/2014
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