Individual
JENNIFER CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5135 68TH ST, URBANDALE, IA 50322-6935
(515) 809-1949
Mailing address
5135 68TH ST, URBANDALE, IA 50322-6935
(515) 809-1949
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
22070
IA
Other
Enumeration date
12/06/2013
Last updated
11/13/2019
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