Individual
HARVEY JOEL EERNISSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
2012 N 26TH ST, FORT DODGE, IA 50501-7330
(515) 570-3847
Mailing address
2012 N 26TH ST, FORT DODGE, IA 50501-7330
(515) 570-3847
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13015
IA
Other
Enumeration date
07/26/2013
Last updated
07/26/2013
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