Individual
MRS. JENNY LYNN ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
2041 QUAKER DR, TRACY, IA 50256-8517
(641) 780-3153
Mailing address
2041 QUAKER DR, TRACY, IA 50256-8517
(641) 949-6644
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18701
IA
Other
Enumeration date
01/23/2007
Last updated
09/03/2007
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