Provider Demographics
NPI:1962522557
Name:DEBUHR, CORY ANTON (PHARM D)
Entity type:Individual
Prefix:DR
First Name:CORY
Middle Name:ANTON
Last Name:DEBUHR
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2911 CAMBRIDGE DR
Mailing Address - Street 2:
Mailing Address - City:BETTENDORF
Mailing Address - State:IA
Mailing Address - Zip Code:52722-3322
Mailing Address - Country:US
Mailing Address - Phone:319-530-2593
Mailing Address - Fax:309-792-1518
Practice Address - Street 1:2001 5TH ST
Practice Address - Street 2:
Practice Address - City:SILVIS
Practice Address - State:IL
Practice Address - Zip Code:61282-2903
Practice Address - Country:US
Practice Address - Phone:309-792-1531
Practice Address - Fax:309-792-1518
Is Sole Proprietor?:No
Enumeration Date:2007-03-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist