Individual
JENNIFER LYNN PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
233 S CENTURY AVE, WAUNAKEE, WI 53597-1249
(608) 849-7888
(608) 849-7474
Mailing address
212 WEST ST, DANE, WI 53529-9717
(608) 712-8513
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14723-40
WI
Other
Enumeration date
09/28/2012
Last updated
09/28/2012
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