IndividualActive
Dennis Bousselot, RPH
NPI 1629131156 · Pharmacist · Dewitt, IA
Provider details
- NPI number
- 1629131156
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Credential
- RPH
- Sex
- Male
- Sole proprietor
- No
- License
- 14363 (IA)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
629 6th Ave
Dewitt, IA 52742
Phone: (563) 659-5042
Fax: (563) 659-5044
Approximate (ZIP-level) locationGet directions
Mailing address
2433 259th Ave
Dewitt, IA 52742
Registry dates
- Enumerated
- 2006-12-18
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.