Individual
JADE LEIGH HALVORSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
23148 HIGHWAY 5, CENTERVILLE, IA 52544-8421
(641) 437-7185
(641) 856-0505
Mailing address
23148 HIGHWAY 5, CENTERVILLE, IA 52544-8421
(641) 437-7185
(641) 856-0505
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
23279
IA
Other
Enumeration date
07/17/2019
Last updated
07/17/2019
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