Individual
MR. JASON D EISERMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
300 SUPERIOR AVE, TOMAH, WI 54660-1636
(608) 372-2101
(608) 372-7185
Mailing address
22373 MCCARTHY LN, RICHLAND CENTER, WI 53581-6381
(608) 632-3726
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12371
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12371
STATE PHARMACIST LIC
WI
Enumeration date
10/18/2005
Last updated
01/27/2021
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