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NPI Code Detail

MEDICARE: KARA LEE ESTABROOK PHARMD

MEDICARE: KARA LEE ESTABROOK PHARMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist21786IA
2183500000XPharmacist5961SD

General Provider Information

NPI Number : 1700122231
Entity Type Code : Individual
Provider Name (Legal Business Name) : KARA LEE ESTABROOK PHARMD
Provider Business Mailing Address
First Line : 4650 MORNINGSIDE AVE
Second Line :
City : SIOUX CITY
State : IA
Zip : 51106-2964
Country : US
Telephone Number : 605-760-3386
Fax Number :
Provider Business Practice Location Address
First Line : 4650 MORNINGSIDE AVE
Second Line :
City : SIOUX CITY
State : IA
Zip : 51106-2964
Country : US
Telephone Number : 605-760-3386
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/03/2013
Last Update Date : 01/21/2015

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Directions to “ KARA LEE ESTABROOK PHARMD” Practice Location

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