Individual
JEREMIAH BARNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5000 W NATIONAL AVE, MILWAUKEE, WI 53295-0001
(414) 384-2000
Mailing address
2092 S 102ND ST, APARTMENT #302A, WEST ALLIS, WI 53227-1376
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26026652A
IN
Other
Enumeration date
07/11/2016
Last updated
07/11/2016
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