Individual
BARBARA LEE FJORDBAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
102 2ND ST, CORALVILLE, IA 52241-2606
(319) 341-6153
Mailing address
102 2ND ST, CORALVILLE, IA 52241-2606
(319) 341-6153
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14750
IA
183500000X
Pharmacist
23178
TX
183500000X
Pharmacist
2664
WY
Other
Enumeration date
11/09/2011
Last updated
11/09/2011
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