KERRY SHANE HOGAN

OTTUMWA, IA
NPI1538142583
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: IA  19763)
Enumeration Date2005-11-23
Last Update Date2007-07-08
Business Address
Mr. KERRY SHANE HOGAN Pharm D.
1131 N QUINCY AVE
OTTUMWA, IA 52501-3857
Phone number: 641-683-3814
Mailing Address
Mr. KERRY SHANE HOGAN Pharm D.
132 CARTER AVE
OTTUMWA, IA 52501-1201
Phone number: 641-682-3313
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