Individual
JILL MARIE MASTASCUSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
20 WILSON AVE SW, CEDAR RAPIDS, IA 52404-5684
(319) 362-3649
Mailing address
5012 ERIN CT NE, CEDAR RAPIDS, IA 52411-6508
(319) 294-9055
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
20354
IA
Other
Enumeration date
03/27/2007
Last updated
07/08/2007
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