Individual
CAMALA JORSTAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.PH.
Contact information
Practice address
577 S TAYLOR DR, SHEBOYGAN, WI 53081-4234
(920) 459-7467
Mailing address
W4855 HICKORY HILLS RD, CHILTON, WI 53014-9724
(920) 254-7270
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15393-40
WI
Other
Enumeration date
06/18/2014
Last updated
06/18/2014
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