Individual
JARED GREGORY LATUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
2901 GOLF RD, DELAFIELD, WI 53018-2178
(262) 646-9095
(262) 646-5125
Mailing address
2901 GOLF RD, DELAFIELD, WI 53018-2178
(262) 646-9095
(262) 646-5125
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15499-040
WI
Other
Enumeration date
09/29/2011
Last updated
09/29/2011
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