Individual
JAMIE KNIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1251 4TH ST SW, MASON CITY, IA 50401-2710
(641) 423-2035
Mailing address
1251 4TH ST SW, MASON CITY, IA 50401-2710
(641) 423-2035
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
23119
IA
183500000X
Pharmacist
PHA.0022095
CO
Other
Enumeration date
08/18/2019
Last updated
08/18/2019
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