Individual
KOLBY SACKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
111 W 4TH ST, VINTON, IA 52349-1121
(319) 472-4274
(319) 472-4266
Mailing address
111 W 4TH ST, VINTON, IA 52349-1121
(319) 472-4274
(319) 472-4266
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
22899
IA
Other
Enumeration date
06/15/2017
Last updated
06/15/2017
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