Individual
DR. MARY JILL LEISURE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM D
Contact information
Practice address
1000 4TH ST SW, MASON CITY, IA 50401-2800
(641) 424-6847
(641) 424-6876
Mailing address
1 COUNTRY CLUB PL, CLEAR LAKE, IA 50428-1218
(641) 424-6847
(641) 424-6876
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
18314
IA
Other
Enumeration date
02/22/2007
Last updated
07/08/2007
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