Individual
MR. JON CHARLES OCONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
N168 W21330 MAIN STREET, JACKSON, WI 53051
(262) 677-1702
(262) 677-2524
Mailing address
N168W21330 MAIN ST, JACKSON, WI 53037-9636
(262) 677-1702
(262) 766-2524
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
R-9149
WI
Other
Enumeration date
12/05/2011
Last updated
12/05/2011
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