Individual
JACQUELINE WILLMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
2055 KIMBALL AVE STE 101, WATERLOO, IA 50702-5047
(641) 229-0146
Mailing address
2055 KIMBALL AVE STE 101, WATERLOO, IA 50702-5047
(641) 229-0146
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
23617
IA
Other
Enumeration date
10/10/2019
Last updated
08/05/2020
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