Individual
JOLYNN AHMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
902 S 6TH ST, COUNCIL BLUFFS, IA 51501-3509
(712) 256-6583
(712) 256-6584
Mailing address
902 S 6TH ST, COUNCIL BLUFFS, IA 51501-6441
(712) 256-6583
(712) 256-6584
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
19643
IA
1835P2201X
Ambulatory Care Pharmacist
19643
IA
261QF0400X
Federally Qualified Health Center (FQHC)
19643
IA
Other
Enumeration date
10/24/2011
Last updated
09/29/2021
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