LONNIE KENT WILDRICK

DES MOINES, IA
NPI1427325232
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: IA  13388)
Enumeration Date2011-11-22
Last Update Date2011-11-22
Business Address
-- LONNIE KENT WILDRICK RPh
104 E EUCLID AVE
DES MOINES, IA 50313-4507
Phone number: 515-243-0601
Mailing Address
-- LONNIE KENT WILDRICK RPh
104 E EUCLID AVE
DES MOINES, IA 50313-4507
Phone number: 515-243-0601