Individual
JESSICA PURCELL SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD MPH
Contact information
Practice address
1920 ELM ST, DUBUQUE, IA 52001-3641
(563) 583-7379
Mailing address
1920 ELM ST, DUBUQUE, IA 52001-3641
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
20461
IA
Other
Enumeration date
01/29/2007
Last updated
07/07/2009
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