Individual
BRYCE JACKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
402 10TH ST SE, CEDAR RAPIDS, IA 52403-2435
(319) 363-1284
(319) 363-4453
Mailing address
402 10TH ST SE, CEDAR RAPIDS, IA 52403-2435
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17709
IA
Other
Enumeration date
04/12/2006
Last updated
04/07/2014
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