Individual
EMMA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
410 N ANKENY BLVD, ANKENY, IA 50023-1753
(515) 964-9464
Mailing address
4051 MORTON AVE, DES MOINES, IA 50317-5561
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
24598
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
24598
LICENSE
—
Enumeration date
11/08/2022
Last updated
11/08/2022
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