Individual
JACOB MEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
744 S WEBSTER AVE, GREEN BAY, WI 54301-3505
(920) 433-3500
Mailing address
744 S WEBSTER AVE, GREEN BAY, WI 54301-3505
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
21038-40
WI
Other
Enumeration date
10/08/2021
Last updated
10/08/2021
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