Individual
ALI ALTAIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1660 22ND ST, WEST DES MOINES, IA 50266-1445
(515) 223-9699
Mailing address
5733 LINCOLN AVE, DES MOINES, IA 50310-1035
(515) 333-3126
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
24682
IA
Other
Enumeration date
04/06/2023
Last updated
04/06/2023
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