Individual
TRACY DASSIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1823 E KIMBERLY RD, DAVENPORT, IA 52807-2027
(563) 359-5313
(563) 344-8563
Mailing address
1823 E KIMBERLY RD, DAVENPORT, IA 52807-2027
(563) 359-5313
(563) 344-8563
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
19368
IA
Other
Enumeration date
04/13/2020
Last updated
04/13/2020
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