# JODY SIEGRIST

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1972160901
- **Gender:** F

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 183500000X | Pharmacist | 23394 | IA | — |
| 3336C0002X | Clinic Pharmacy | PH61045127 | WA | Yes |

## Other

- **Enumeration date:** 05/24/2019
- **Last updated:** 10/01/2026
