Most Relevant Information
Provider Data
NPI Number: | 1003449505 |
Provider Name: | KRISTIN DECOOK |
Entity Type: | Individual |
Taxonomy Code: | 183500000X |
Specialty: | Pharmacist |
License Number: | 23074 |
Most Important Dates
Enumeration Date: | 02/13/2020 |
Last Updated: | 02/13/2020 |
Provider Practice Location
802 S CENTER ST
MARSHALLTOWN
IA
501583350
Practice Location Phone/Fax
Phone: | 6417522266 |
Fax: | 6417521703 |
Provider Mailing Location
1427 S 15TH AVE W
NEWTON
IA
502084312
Provider Mailing Phone/Fax
Phone: | 6415213815 |
Fax: |