NPI 1013657204

Jared Ehtessabian, PHARMD

Practitioner Pharmacist Iowa City, IA

Practice location

Address: 200 Hawkins Dr, Iowa City, IA 52242-1009
Phone: (319) 356-2577
Mailing address: 200 Hawkins Dr # Cc101gh, Iowa City, IA 52242-1009

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 21419 (IA)

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Registry record

NPI: 1013657204
Entity type: Individual
Sex (as registered): Male
NPI issued: 29 Mar 2022
Record last updated: 29 Mar 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.