Individual
MARC THIEME
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1140 N JEFFERSON ST, OTTUMWA, IA 52501-2017
(641) 684-5467
Mailing address
324 N JEFFERSON ST, OTTUMWA, IA 52501-2718
(630) 818-7009
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
24525
IA
Other
Enumeration date
09/06/2022
Last updated
09/06/2022
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