Individual
MS. MARTHA ELAINE SEVERANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
2700 4TH ST SW, WAVERLY, IA 50677-4351
(319) 352-2735
(319) 352-4570
Mailing address
1103 G AVE, GRUNDY CENTER, IA 50638-1032
(319) 824-6059
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15763
IA
Other
Enumeration date
06/12/2020
Last updated
06/12/2020
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