Individual
JACALYN SUE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1905 E 7TH ST, ATLANTIC, IA 50022-1916
(712) 243-9223
(712) 243-9225
Mailing address
71268 570TH ST, GRISWOLD, IA 51535-6536
(712) 789-0398
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
19471
IA
Other
Enumeration date
06/10/2020
Last updated
06/10/2020
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