Individual
MRS. SHERRILL JEAN PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
1251 334TH STREET, WOODWARD, IA 50276
(515) 438-3280
Mailing address
29399 140TH STREET, WOODWARD, IA 50276
(515) 438-2835
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P15849
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P15849
PHARMACIST LICENSE
IA
Enumeration date
03/23/2007
Last updated
07/08/2007
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