SUSAN V MINA

DAVENPORT, IA
NPI1740564046
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: IA  19417)
Enumeration Date2011-10-05
Last Update Date2011-10-05
Business Address
-- SUSAN V MINA
1525 E KIMBERLY RD
DAVENPORT, IA 52807-1924
Phone number: 563-386-6883
Mailing Address
-- SUSAN V MINA
4150 E 60TH ST
DAVENPORT, IA 52807-9754
Phone number: 563-355-7518