Individual
MR. TERRY CARLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
102 N ELM ST, AVOCA, IA 51521-0698
(712) 343-6777
(712) 343-2681
Mailing address
102 N ELM ST, PO BOX 698, AVOCA, IA 51521-0698
(712) 343-6777
(712) 343-2681
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
238
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0081174
—
IA
Enumeration date
12/11/2006
Last updated
11/13/2007
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