Individual
DR. DOUGLAS DEAN KALASEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
757 W BROADWAY, COUNCIL BLUFFS, IA 51501-4197
(712) 328-3277
Mailing address
3402 8TH AVE, COUNCIL BLUFFS, IA 51501-5622
(402) 639-8150
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
19428
IA
Other
Enumeration date
04/16/2020
Last updated
04/16/2020
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