Edward Mckenna

NPI #1114547460 in Storm Lake, Iowa

Provider Information

NPI Number: 1114547460
Entity Type: Individual
Name: Edward Mckenna
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Apr 16, 2020
Last Updated: Apr 16, 2020

Practice Location

Address: 409 W 5TH ST
City: Storm Lake
State: Iowa
ZIP Code: 50588-1725
Phone: (712) 732-3985

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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