Individual
DR. RUSSELL MULKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
104 E 1ST ST, ANKENY, IA 50021-1703
(515) 963-7889
(515) 963-4557
Mailing address
104 E 1ST ST, ANKENY, IA 50021-1703
(515) 963-7889
(515) 963-4557
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
22041
IA
Other
Enumeration date
11/27/2020
Last updated
11/27/2020
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