Individual
DEBBIE SUE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2605 BLAIRS FERRY RD NE, CEDAR RAPIDS, IA 52402-1802
(319) 294-9461
(319) 294-9558
Mailing address
23765 RIDGE ROAD E28, ANAMOSA, IA 52205-7511
(319) 294-9461
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18997
IA
Other
Enumeration date
06/05/2020
Last updated
06/05/2020
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