Individual
JACQUELIN ULM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
624 S CHURCH ST, WATERTOWN, WI 53094-6229
(920) 261-7140
(920) 261-8223
Mailing address
1409 COUNTRY CLUB LN, WATERTOWN, WI 53098-4350
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
9652-40
WI
Other
Enumeration date
04/03/2015
Last updated
04/03/2015
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