John M Jung RPH

NPI 1083997100 - Pharmacist - 183500000X

NPI Details
NPI 1083997100
Gender Male
Enumeration Date 09/26/2011
Last Updated 09/26/2011
Entity Type Individual
Active Over 6 years ago
Practice Location
WAUWATOSA WI, 53226-2207, US
Phone (414) 774-4821
Business Location
3354 LAKE DR
HARTFORD WI, 53027-9530, US
Phone (262) 673-4441
Taxonomy Code 183500000X
License State Wisconsin
License Number 9564-40
Remove 1083997100 NPI Number

According to our database, Mr. John M Jung RPH NPI is 1083997100, taxonomy code is 183500000X and license number is 9564-40, license state is located at Wisconsin. John M Jung RPH physically located at 2275 N Mayfair Rd, Wauwatosa WI, 53226-2207. NPI Number John M Jung RPH has the Individual type.

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1083997100 NPI number is provided on an as is basis without warranty of any kind. 1083997100 is maintained by the National Plan & Provider Enumeration System. The contents of John M Jung RPH are for informational purposes only.