Individual
THEODORE GOLDSBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
2875 ASPEN VALLEY DR, BETTENDORF, IA 52722-8101
(563) 332-0358
Mailing address
2875 ASPEN VALLEY DR, BETTENDORF, IA 52722-8101
(563) 332-0358
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18572
IA
Other
Enumeration date
09/09/2017
Last updated
07/21/2022
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