Individual
MRS. JONI PENN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
3201 E LAYTON AVE, CUDAHY, WI 53110-1402
(414) 481-8220
Mailing address
3201 E LAYTON AVE, CUDAHY, WI 53110-1402
(414) 481-8220
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11416-40
WI
Other
Enumeration date
10/25/2011
Last updated
10/25/2011
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