Individual
RICK HABECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1111 HOLTON DR, LE MARS, IA 51031-2884
(712) 546-5150
(712) 546-4374
Mailing address
1111 HOLTON DR, LE MARS, IA 51031-2884
(712) 546-5150
(712) 546-4374
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18666
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18666
IOWA LICENSE NUMBER
IA
Enumeration date
12/16/2020
Last updated
12/16/2020
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