Mary Jill Leisure PHARM D

NPI 1073648804 - Pharmacist - 1835P1200X

NPI Details
NPI 1073648804
Gender Female
Enumeration Date 02/22/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
1000 4TH ST SW
MASON CITY IA, 50401-2800, US
Phone (641) 424-6847
Fax (641) 424-6876
Business Location
1 COUNTRY CLUB PL
CLEAR LAKE IA, 50428-1218, US
Phone (641) 424-6847
Fax (641) 424-6876
Toxanomy
Taxonomy Code 1835P1200X
License State Iowa
License Number 18314
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According to our database, Dr. Mary Jill Leisure PHARM D NPI is 1073648804, taxonomy code is 1835P1200X and license number is 18314, license state is located at Iowa. Mary Jill Leisure PHARM D physically located at 1000 4th St Sw, Mason City IA, 50401-2800. NPI Number Mary Jill Leisure PHARM D has the Individual type.

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1073648804 NPI number is provided on an as is basis without warranty of any kind. 1073648804 is maintained by the National Plan & Provider Enumeration System. The contents of Mary Jill Leisure PHARM D are for informational purposes only.