Individual
MACKENZIE LEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
129 W LOCUST ST, DAVENPORT, IA 52803-2803
(563) 324-1641
Mailing address
129 W LOCUST ST, DAVENPORT, IA 52803-2803
(563) 324-1641
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
23326
IA
Other
Enumeration date
08/26/2021
Last updated
08/26/2021
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