Individual
JILL NITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
401 SUPERCENTER DR, JEFFERSON CITY, MO 65101-8190
(573) 635-3877
Mailing address
401 SUPERCENTER DR, JEFFERSON CITY, MO 65101-8190
(573) 635-3877
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2010004041
MO
Other
Enumeration date
03/25/2015
Last updated
03/25/2015
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