Individual
MR. JAY BUBRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
5320 N PORT WASHINGTON RD, GLENDALE, WI 53217-4913
(414) 963-0811
(414) 963-0830
Mailing address
4961 N WILDWOOD AVE, WHITEFISH BAY, WI 53217-6015
(414) 964-1693
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
8332-040
WI
Other
Enumeration date
11/23/2013
Last updated
11/23/2013
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