Individual
MARY SCHUPP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3425 INGERSOLL AVE, DES MOINES, IA 50312-3915
(515) 255-8642
Mailing address
3425 INGERSOLL AVE, DES MOINES, IA 50312-3915
(515) 255-8642
(515) 255-6099
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18334
IA
Other
Enumeration date
04/23/2020
Last updated
04/23/2020
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