NPI 1043410939

Daniel Petefish, PHARMD

Practitioner Pharmacist Bettendorf, IA

Practice location

Address: 4500 Utica Ridge Rd, Bettendorf, IA 52722-1626
Phone: (563) 742-2410

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 19830 (IA)

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Registry record

NPI: 1043410939
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 Jul 2007
Record last updated: 10 Mar 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.