Provider First Line Business Practice Location Address:
2507 UNIVERSITY AVE
Provider Second Line Business Practice Location Address:
DRAKE COLLEGE OF PHARMACY
Provider Business Practice Location Address City Name:
DES MOINES
Provider Business Practice Location Address State Name:
IA
Provider Business Practice Location Address Postal Code:
50311-4516
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
515-271-4918
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/31/2005