Individual
DR. JAY P HANEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DOCTOR OF PHARMACY
Contact information
Practice address
8500 W CAPITOL DR, MILWAUKEE, WI 53222-1869
(414) 463-1111
(414) 463-1112
Mailing address
W319N1019 BALSAM LN, DELAFIELD, WI 53018-2633
(262) 719-5346
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13310-040
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1528311933
—
WI
Enumeration date
05/08/2006
Last updated
03/07/2023
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