Individual
THERESA TRIPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
1312 GROVE ST, ADEL, IA 50003-1023
(515) 778-9568
Mailing address
1312 GROVE ST, ADEL, IA 50003-1023
(515) 778-9568
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17350
IA
Other
Enumeration date
07/21/2021
Last updated
07/21/2021
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