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MS. SUSAN MARGARET SHIELDS RPH

>> Pharmacist >> Pharmacy Service Providers

Registrant NPI Number: 1891713426

Individual Registrant:
MS. SUSAN MARGARET SHIELDS RPH
Gender: F
Not Sole Proprietor

Location and contact information for practice:
250 ELM AVENUE SW  MITCHELLVILLE, IA 50169 US
Tel: 515-725-5065  Fax: 515-725-5070

Contact information for business:
732 18TH ST APT 401  DES MOINES, IA 50314-1027 US
Tel: 515-571-5957  Fax: --

Registration Information:
NPI: 1891713426
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y183500000XPharmacy Service Providers
Pharmacist
IA16321

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
NPI189171342601




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