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Individual

DR. MICHAEL SETH VARGO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD.

Contact information

Practice address
260 NW 36TH ST STE 105, ANKENY, IA 50023-8431
(515) 346-3335
Mailing address
260 NW 36TH ST STE 105, ANKENY, IA 50023-8431
(515) 346-3335

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
1-109200
KS
183500000X
Pharmacist
Primary
24696
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1-109200
PHARMACIST STATE LICENSE
KS
Enumeration date
08/13/2020
Last updated
06/10/2023
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