Individual
MRS. NANCY ILENE GAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
2508 W BROADWAY, COUNCIL BLUFFS, IA 51501-3509
(712) 328-2266
(712) 328-9063
Mailing address
4816 CEDARBROOK DR, COUNCIL BLUFFS, IA 51503-2588
(712) 249-3213
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
11759
NE
183500000X
Pharmacist
Primary
19782
IA
1835N0905X
Nuclear Pharmacist
11759
NE
Other
Enumeration date
11/18/2011
Last updated
11/18/2011
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