Individual
AMY JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
350 N GRANDVIEW AVE, DUBUQUE, IA 52001-6392
(563) 589-2472
(563) 589-2616
Mailing address
1255 S GRANDVIEW AVE, DUBUQUE, IA 52003-8717
(612) 708-5231
Taxonomy
Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
Primary
21413
IA
Other
Enumeration date
12/01/2020
Last updated
12/01/2020
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