Provider Demographics
NPI:1255153052
Name:MARTZAHN, DAVID KEE (PHARMD, MBA)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:KEE
Last Name:MARTZAHN
Suffix:
Gender:M
Credentials:PHARMD, MBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2108 NW SHARMIN DR
Mailing Address - Street 2:
Mailing Address - City:ANKENY
Mailing Address - State:IA
Mailing Address - Zip Code:50023-4848
Mailing Address - Country:US
Mailing Address - Phone:641-425-0089
Mailing Address - Fax:
Practice Address - Street 1:534 S DUFF AVE
Practice Address - Street 2:
Practice Address - City:AMES
Practice Address - State:IA
Practice Address - Zip Code:50010-6863
Practice Address - Country:US
Practice Address - Phone:515-956-3547
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-31
Last Update Date:2024-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA25189183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist