Individual
KEELY NICOLE BOUSKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
545 W WASHINGTON AVE, COUNCIL BLUFFS, IA 51503-0216
(712) 352-4152
Mailing address
24613 RICHFIELD LOOP, COUNCIL BLUFFS, IA 51503-4271
(319) 530-6561
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
21037
IA
Other
Enumeration date
12/03/2020
Last updated
12/03/2020
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