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1215222773
BROCK MICHAEL MCKIBBAN
URBANDALE, IA
NPI
1215222773
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: IA 20754)
Enumeration Date
2011-06-13
Last Update Date
2011-06-13
Business Address
Dr. BROCK MICHAEL MCKIBBAN PharmD
11148 PLUM DR TARGET PHARMACY STORE NUMBER T-1791
URBANDALE, IA 50322-6328
Phone number: 515-270-6884
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Mailing Address
Dr. BROCK MICHAEL MCKIBBAN PharmD
11148 PLUM DR TARGET PHARMACY STORE NUMBER T-1791
URBANDALE, IA 50322-6328
Phone number: 515-270-6884
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