Individual
MRS. JENNIFER MARIE ERICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
1920 ELM ST, DUBUQUE, IA 52001-3641
(563) 583-4036
Mailing address
2829 BURLINGTON ST, DUBUQUE, IA 52001-0916
(563) 583-4036
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18715
IA
Other
Enumeration date
11/01/2006
Last updated
07/08/2007
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