Individual
KATHERINE JEAN BASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
811 5TH AVE SE, CEDAR RAPIDS, IA 52403-2421
(319) 364-4181
(319) 363-5448
Mailing address
5030 CHARTER OAK LN SE, CEDAR RAPIDS, IA 52403-1024
(319) 892-0339
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
20492
IA
Other
Enumeration date
09/18/2007
Last updated
09/18/2007
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