Individual
LEWIS JAY KUMBIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
305 RACINE ST, MENASHA, WI 54952-2359
(920) 722-4759
Mailing address
305 RACINE ST, MENASHA, WI 54952-2359
(920) 722-4759
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10791-40
WI
Other
Enumeration date
10/26/2011
Last updated
10/26/2011
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