Individual
SAMANTHA YOUNGBLOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
400 N ELM ST, JEFFERSON, IA 50129-1420
(515) 386-2164
Mailing address
1140 N JEFFERSON ST, OTTUMWA, IA 52501-2017
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
23111
IA
Other
Enumeration date
12/31/2019
Last updated
09/25/2023
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