Individual
SARA SUE WORMLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
918 W PLATT ST, SUITE #2, MAQUOKETA, IA 52060-2038
(563) 652-5611
Mailing address
918 W PLATT ST, SUITE #2, MAQUOKETA, IA 52060-2038
(563) 652-5611
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
21484
IA
Other
Enumeration date
07/06/2011
Last updated
07/06/2011
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