Individual
EMILY ROSE HOUSEHOLTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
4415 DOUGLAS AVE, DES MOINES, IA 50310-2717
(515) 279-4739
Mailing address
1655 98TH ST APT 105, WEST DES MOINES, IA 50266-5043
(630) 649-0728
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
23092
IA
Other
Enumeration date
04/23/2019
Last updated
06/12/2019
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