Individual
MRS. JILLANE ELISE PAUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.PH.
Contact information
Practice address
5750 MERLE HAY RD, JOHNSTON, IA 50131-1215
(515) 270-9212
(515) 270-0860
Mailing address
702 NE BARCLAY CIR, ANKENY, IA 50021-4526
(515) 963-8102
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17867
IA
Other
Enumeration date
02/27/2007
Last updated
07/08/2007
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