Provider Demographics
NPI:1831793959
Name:SELL, JEFFREY L (RPH)
Entity type:Individual
Prefix:
First Name:JEFFREY
Middle Name:L
Last Name:SELL
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2302 W 1ST ST
Mailing Address - Street 2:
Mailing Address - City:CEDAR FALLS
Mailing Address - State:IA
Mailing Address - Zip Code:50613-1879
Mailing Address - Country:US
Mailing Address - Phone:319-277-5181
Mailing Address - Fax:319-277-3281
Practice Address - Street 1:2302 W 1ST ST
Practice Address - Street 2:
Practice Address - City:CEDAR FALLS
Practice Address - State:IA
Practice Address - Zip Code:50613-1879
Practice Address - Country:US
Practice Address - Phone:319-277-5181
Practice Address - Fax:319-277-3281
Is Sole Proprietor?:No
Enumeration Date:2020-11-30
Last Update Date:2020-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA17872183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist