JOHN LICHTY

URBANDALE, IA
NPI1659736395
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1835P2201X Pharmacist, Ambulatory Care
(Licence: IA  15955)
Enumeration Date2015-12-23
Last Update Date2015-12-23
Business Address
-- JOHN LICHTY
7501 HICKMAN RD
URBANDALE, IA 50322-4603
Phone number: 515-276-6712
Mailing Address
-- JOHN LICHTY
7501 HICKMAN RD
URBANDALE, IA 50322
Phone number: 515-276-6712
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