Individual
JEFFREY JACK BATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
910 N JEFFERSON WAY, INDIANOLA, IA 50125-1450
(515) 962-9444
Mailing address
910 N JEFFERSON WAY, INDIANOLA, IA 50125-1450
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
21226
IA
Other
Enumeration date
12/24/2019
Last updated
12/24/2019
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