# JEROME DRUGS INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487706057
- **Authorized official:** MR. JEFFFERY J GOTTFRIED R.PH (PHARMACIST)
- **Authorized official phone:** (262) 662-5622

## Contact information

- **Practice address:** W230S8715 CLARK ST, BIG BEND, WI 53103
- **Practice address phone:** (262) 662-5622
- **Mailing address:** PO BOX 177, BIG BEND, WI 53103-0177
- **Mailing address phone:** (262) 662-5622

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 7152 | WI | Yes |

## Other

- **Enumeration date:** 01/17/2007
- **Last updated:** 08/22/2020