Individual
MR. PHILIP M OSTREM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1010 W MADISON ST, SUITE 1, WASHINGTON, IA 52353-1624
(319) 331-2552
(319) 339-0399
Mailing address
1010 W MADISON ST, SUITE 1, WASHINGTON, IA 52353-1624
(319) 331-2552
(319) 339-0399
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
051.288713
IL
183500000X
Pharmacist
Primary
17508
IA
Other
Enumeration date
07/26/2011
Last updated
06/20/2014
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