Individual
ALEXANDRA ANNE KLISE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
800 E 1ST ST STE 1800, ANKENY, IA 50021-2100
(515) 643-7590
(515) 643-7595
Mailing address
800 E 1ST ST STE 1800, ANKENY, IA 50021-2100
(515) 643-7590
(515) 643-7595
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
22039
IA
Other
Enumeration date
06/03/2014
Last updated
06/03/2014
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