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Individual

MIKE MCKIE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1305 141ST ST, PERRY, IA 50220-8128
(515) 465-5484
(515) 465-5488
Mailing address
1305 141ST ST, PERRY, IA 50220-8128
(515) 465-5484
(515) 465-5488

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15056
IA

Other

Enumeration date
07/27/2010
Last updated
07/27/2010
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