Individual
DARCY WALTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.PH.
Contact information
Practice address
1201 12TH AVE SW, LE MARS, IA 51031-3055
(712) 548-4503
Mailing address
1201 12TH AVE SW, LE MARS, IA 51031-3055
(712) 548-4503
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18491
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
18491
—
IA
Enumeration date
01/03/2020
Last updated
01/03/2020
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