Provider Demographics
NPI:1740490887
Name:REMSBURG, JONATHAN K (PHARMD)
Entity type:Individual
Prefix:DR
First Name:JONATHAN
Middle Name:K
Last Name:REMSBURG
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:606 8TH AVE
Mailing Address - Street 2:
Mailing Address - City:SLATER
Mailing Address - State:IA
Mailing Address - Zip Code:50244-9739
Mailing Address - Country:US
Mailing Address - Phone:515-228-3495
Mailing Address - Fax:
Practice Address - Street 1:303 S US HIGHWAY 69 STE B
Practice Address - Street 2:
Practice Address - City:HUXLEY
Practice Address - State:IA
Practice Address - Zip Code:50124-8095
Practice Address - Country:US
Practice Address - Phone:515-597-4100
Practice Address - Fax:515-597-4104
Is Sole Proprietor?:No
Enumeration Date:2007-05-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA20072183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist