Individual
JACK ALDERSHOF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
113 1ST ST E, MT VERNON, IA 52314-1422
(319) 895-6248
(319) 895-6991
Mailing address
113 1ST ST E, MT VERNON, IA 52314-1422
(319) 363-0074
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12633
IA
Other
Enumeration date
12/11/2006
Last updated
07/08/2007
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