Kelly Dawn Bump, RPh
Pharmacy, Community/Retail Pharmacy in Audubon, IA. Individual provider (NPI-1).
NPI number1164090148
StatusActive
Last updated in NPPESJun 15, 2021
Details
- NPI
- 1164090148
- Entity type
- Individual (NPI-1)
- Name
- Kelly Dawn Bump
- Credential
- RPh
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 15, 2021
- Certification date
- Jun 15, 2021
- Last updated
- Jun 15, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | – | – | Yes |
Practice location
317 N Market StAudubon, IA 50025-7562
Phone 712-563-2655
Mailing address
317 N Market StAudubon, IA 50025-7562
Phone 712-563-2655
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