Individual
JANE MOELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1321 W MAIN ST, LAKE CITY, IA 51449-1585
(712) 464-4228
(712) 464-4125
Mailing address
1321 W MAIN ST, LAKE CITY, IA 51449-1585
(712) 464-4228
(712) 464-4125
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18159
IA
Other
Enumeration date
04/24/2015
Last updated
04/24/2015
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