Individual
NATHAN MOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3804 METRO DR, COUNCIL BLUFFS, IA 51501-7732
(712) 309-3381
Mailing address
1 CVS DR # 1075, WOONSOCKET, RI 02895-6146
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
23878
IA
Other
Enumeration date
06/01/2021
Last updated
06/01/2021
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