Individual
JESSICA MARIE EISCHEID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1321 W MAIN ST, LAKE CITY, IA 51449
(712) 464-7281
(712) 318-5420
Mailing address
1426 BROADWAY, DENISON, IA 51442-2053
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
21709
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1621968
NCPDP
IA
Enumeration date
01/28/2020
Last updated
05/19/2022
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