Individual
JENNIFER LEE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM D
Contact information
Practice address
139 W MAPLE ST, LANCASTER, WI 53813-1640
(608) 723-4737
Mailing address
139 W MAPLE ST, LANCASTER, WI 53813-1640
(608) 723-4737
(608) 723-4735
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13734
WI
Other
Enumeration date
09/29/2011
Last updated
06/03/2020
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