Individual
JODIE SMITH
Active
Sole proprietor
Provider details
NPI number
Gender
F
Contact information
Practice address
411 10TH ST SE, CEDAR RAPIDS, IA 52403-2442
(319) 364-2406
(319) 362-5592
Mailing address
1060 MILSTEAD DR, HIAWATHA, IA 52233-1867
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17663
IA
Other
Enumeration date
04/03/2006
Last updated
07/08/2007
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