Individual
COURTNEY DONNELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
401 2ND ST, IDA GROVE, IA 51445-1302
(712) 364-2120
Mailing address
401 2ND ST, IDA GROVE, IA 51445-1302
(712) 364-2120
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
23028
IA
Other
Enumeration date
07/06/2018
Last updated
07/06/2018
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