Individual
MARY JO KIRWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
801 5TH ST, SIOUX CITY, IA 51101-1326
(712) 279-5944
Mailing address
1099 PACHSAMA CT, SIOUX CITY, IA 51108-8739
(712) 239-4360
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
19940
IA
183500000X
Pharmacist
4622
SD
Other
Enumeration date
05/24/2007
Last updated
07/08/2007
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