Individual
TRACEY M MCKENNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM. D.
Contact information
Practice address
2006 4TH ST SW, MASON CITY, IA 50401-4603
(641) 423-5178
(641) 424-0975
Mailing address
1575 ALLEN AVE, GARNER, IA 50438
(641) 923-5273
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
20271
IA
Other
Enumeration date
01/03/2007
Last updated
02/02/2010
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