MEDICARE: JACEY JO MESCH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	24163	IA

General Provider Information

NPI Number	:	1770256851
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JACEY JO MESCH

Provider Business Mailing Address
First Line	:	920 S OAK ST STE 2
Second Line	:
City	:	IOWA FALLS
State	:	IA
Zip	:	50126-9507
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	920 S OAK ST STE 2
Second Line	:
City	:	IOWA FALLS
State	:	IA
Zip	:	50126-9507
Country	:	US
Telephone Number	:	641-648-3733
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/26/2021
Last Update Date	:	11/16/2022

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Directions to “ JACEY JO MESCH ” Practice Location

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