Individual
MR. ANGELO JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
10400 75TH ST, KENOSHA, WI 53142-7884
(262) 948-5680
(262) 948-5681
Mailing address
10400 75TH ST, KENOSHA, WI 53142-7884
(262) 948-5680
(262) 948-5681
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16719-40
WI
Other
Enumeration date
12/28/2012
Last updated
12/28/2012
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