MR. Dennis C Bousselot, RPH

NPI #1629131156 in Dewitt, Iowa

Provider Information

NPI Number: 1629131156
Entity Type: Individual
Name: MR. Dennis C Bousselot, RPH
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: RPH
Enumeration Date: Dec 18, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 629 6TH AVE
City: Dewitt
State: Iowa
ZIP Code: 52742
Phone: (563) 659-5042

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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