Individual
KATHERYNE PHOTIJAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1660 W LOCUST ST, DAVENPORT, IA 52804-3636
(563) 324-3508
Mailing address
1660 W LOCUST ST, DAVENPORT, IA 52804-3636
(563) 324-3508
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
051.297168
IL
183500000X
Pharmacist
Primary
22059
IA
Other
Enumeration date
12/25/2013
Last updated
12/25/2013
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