Individual
MADISON KOPPIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1415 WOODLAND AVE STE 238, DES MOINES, IA 50309-3203
(515) 241-5811
Mailing address
6800 ASHWORTH RD UNIT 104, WEST DES MOINES, IA 50266-5849
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
23090
IA
Other
Enumeration date
08/07/2019
Last updated
08/07/2019
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