Individual
PATRICK JOHN GIANNANTONIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
104 ALBANY AVE NE, ORANGE CITY, IA 51041-1423
(712) 737-4844
Mailing address
426 1ST ST SE, ORANGE CITY, IA 51041-2145
(712) 737-2151
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
19928
IA
Other
Enumeration date
06/24/2012
Last updated
06/24/2012
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