Individual
MRS. LISA DAWN GARNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD, RPH
Contact information
Practice address
129 W LOCUST ST, DAVENPORT, IA 52803-2803
(563) 324-1641
(563) 884-4480
Mailing address
2151 KIMBERLY RD, BETTENDORF, IA 52722-3628
(563) 324-1641
(563) 884-4480
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
19366
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0004275
—
IA
Enumeration date
10/31/2005
Last updated
09/13/2007
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