Individual
MICHAEL CHRISTOFFERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
514 W MAIN ST, SAC CITY, IA 50583-1727
(712) 662-7146
Mailing address
PO BOX 112, LYTTON, IA 50561-0112
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
19260
IA
Other
Enumeration date
02/12/2014
Last updated
03/27/2017
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