Individual
MARK JOBST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
115 N CHESTNUT AVE, PO BX 8, EARLHAM, IA 50072
(515) 758-2174
(515) 758-2188
Mailing address
115 N CHESTNUT AVE, PO BX 8, EARLHAM, IA 50072
(515) 758-2174
(515) 758-2188
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14772
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14772
STATE PHAMACY LICENSE
IA
Enumeration date
09/30/2019
Last updated
09/30/2019
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