Individual
JENNIFER SUE MARKHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
101 115TH ST, ANAMOSA, IA 52205-7976
(319) 462-4314
(319) 462-5742
Mailing address
1505 BRIDGE CREEK CT, MARION, IA 52302-4865
(319) 389-2163
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
21545
IA
Other
Enumeration date
06/09/2020
Last updated
06/09/2020
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