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Individual
DR. JACOB THOMAS CANNESTRA
Active
Individual
DR. JACOB THOMAS CANNESTRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
22272-40
WI
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
22272-40
WI
Other
Enumeration date
08/07/2023
Last updated
06/13/2026
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