KATHERYNE PHOTIJAK

DAVENPORT, IA
NPI1871914523
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: IA  22059)
Additional Taxonomies183500000X Pharmacist
(Licence: IL  051.297168)
Enumeration Date2013-12-25
Last Update Date2013-12-25
Business Address
-- KATHERYNE PHOTIJAK
1660 W LOCUST ST
DAVENPORT, IA 52804-3636
Phone number: 563-324-3508
Mailing Address
-- KATHERYNE PHOTIJAK
1660 W LOCUST ST
DAVENPORT, IA 52804-3636
Phone number: 563-324-3508