Individual
ADRIA WOLVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
107 W MAIN ST, OTTUMWA, IA 52501-2542
(641) 684-5453
Mailing address
107 W MAIN ST, OTTUMWA, IA 52501-2542
(641) 684-5453
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17282
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1730117581
PHARMACY
—
Enumeration date
07/06/2018
Last updated
07/06/2018
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