Individual
OMAR AMIGON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM D. RPH
Contact information
Practice address
2645 BLAIRS FERRY RD NE, CEDAR RAPIDS, IA 52402-1802
(319) 393-2110
Mailing address
2805 WATER ST, COLUMBUS CITY, IA 52737-9468
(319) 212-0142
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
24423
IA
Other
Enumeration date
06/27/2022
Last updated
06/27/2022
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