Individual
LEVI JELLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
279 COLLINS RD NE, CEDAR RAPIDS, IA 52402-3163
(319) 393-4480
Mailing address
279 COLLINS RD NE, CEDAR RAPIDS, IA 52402-3163
(319) 393-4480
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
23630
IA
Other
Enumeration date
12/23/2019
Last updated
12/23/2019
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