Individual
MARTHA KUNKLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
8601 DOUGLAS AVE, URBANDALE, IA 50322-2201
(515) 270-2225
(515) 270-2227
Mailing address
8601 DOUGLAS AVE, URBANDALE, IA 50322-2201
(515) 270-2225
(515) 270-2227
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15519
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15519
PHARMACY LIC. #
IA
Enumeration date
04/03/2007
Last updated
07/08/2007
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