Individual
DR. JILL MARIE GRODAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D
Contact information
Practice address
1999 GRAND AVE, WEST DES MOINES, IA 50265-4223
(515) 222-1546
(515) 222-0724
Mailing address
1999 GRAND AVE, WEST DES MOINES, IA 50265-4223
(515) 222-1546
(515) 222-0724
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
20466
IA
Other
Enumeration date
09/27/2011
Last updated
09/27/2011
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