# MRS. MARY JO BRENNAN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1134406671
- **Gender:** F

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 183500000X | Pharmacist | 08261-040 | WI | Yes |

## Other

- **Enumeration date:** 11/11/2011
- **Last updated:** 11/11/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 08261-040 | LICENSE NUMBER | WI |