Individual
JEFFREY DOLTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
324 EDGEWOOD RD NW, CEDAR RAPIDS, IA 52405-3650
(319) 730-0636
(319) 730-0642
Mailing address
324 EDGEWOOD RD NW, CEDAR RAPIDS, IA 52405-3650
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16131
IA
Other
Enumeration date
09/11/2011
Last updated
09/11/2011
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