Individual
DR. JACQUELYN AMY BOWE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM- D
Contact information
Practice address
N65W25055 MAIN ST, SUSSEX, WI 53089
(262) 820-0750
(262) 820-1015
Mailing address
N65W25055 MAIN ST, SUSSEX, WI 53089-2671
(262) 820-0750
(262) 820-1015
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14479-040
WI
Other
Enumeration date
12/05/2011
Last updated
12/05/2011
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