Individual
JUSTIN BAGBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3421 W 9TH ST, WATERLOO, IA 50702-5401
(319) 272-8800
Mailing address
5844 BLUE SAGE RD, WATERLOO, IA 50701-9415
(319) 415-8301
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
22462
IA
Other
Enumeration date
07/29/2015
Last updated
10/26/2022
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