Individual
JENNA WIELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 356-2577
Mailing address
111 W RIDGEWAY AVE, WATERLOO, IA 50701-4233
(319) 433-0490
(319) 433-0493
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
21067
IA
Other
Enumeration date
10/21/2011
Last updated
07/02/2020
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