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Kristine M Staheli Jackson
Non-Pharmacy Dispensing Site in Dubuque, Iowa
NPI 1205847845

Kristine M Staheli Jackson is a Non-Pharmacy Dispensing Site based in Dubuque, IA. Kristine M Staheli Jackson practices in Dubuque, IA. The NPI Number for Kristine M Staheli Jackson is 1205847845 and holds a License No. F066142 (Iowa).

The current practice location address for Kristine M Staheli Jackson is Hillcrest Family Services Clinic, Dubuque, IA and can be reached out via phone at 563-583-6431 and via fax at 563-557-4447.

Location: Hillcrest Family Services Clinic, Dubuque, IA, 52004-0116
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1205847845
Provider Name
Kristine M Staheli Jackson
Credential
Provider Entity Type
Organization
Address
Hillcrest Family Services Clinic, Dubuque, IA, 52004-0116
Phone Number
563-583-6431
Fax Number
563-557-4447
Provider Enumeration Date
08/10/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0140087 05 IA
1621653 01 OTHER ID NUMBER-COMMERCIAL NUMBER
institution
Provider Business Practice Location Address Details
Address
Hillcrest Family Services Clinic
City
Dubuque
State
Iowa
Zip
52001
Phone Number
563-583-6431
Fax Number
563-557-4447
person
Provider Business Mailing Address Details
Address
Hillcrest Family Services Clinic
City
Dubuque
State
Iowa
Zip
52001
Phone Number
563-583-6431
Fax Number
563-557-4447
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Non-Pharmacy Dispensing Site
Speciality
-
Taxonomy
332900000X
License No.
F066142 (Iowa)
Definition
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
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