Individual
MRS. AMY JO WADSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
3221 SE 14TH ST, DES MOINES, IA 50320-1304
(515) 246-1390
(515) 280-5106
Mailing address
402 17TH ST SW, ALTOONA, IA 50009-4800
(515) 971-2117
(515) 280-5106
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
19220
IA
Other
Enumeration date
03/27/2007
Last updated
07/08/2007
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