Individual
MRS. NANCY MARIE BRACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.PH.
Contact information
Practice address
1800 VALLEY WEST DR, WEST DES MOINES, IA 50266-1104
(515) 225-3784
Mailing address
13891 FAIRFAX ST, INDIANOLA, IA 50125-8347
(419) 560-2617
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
03-1-25746
OH
183500000X
Pharmacist
21916
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7130661
—
OH
Enumeration date
10/26/2005
Last updated
07/02/2013
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