Individual
JENISE LYNN CARMODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1422 FLAMMANG DR, WATERLOO, IA 50702-4368
(319) 234-1774
Mailing address
1422 FLAMMANG DR, WATERLOO, IA 50702-4368
(319) 234-1774
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
23392
IA
Other
Enumeration date
08/01/2018
Last updated
12/27/2019
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