Individual
MRS. JESSICA LYNN EWERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
3200 8TH ST S, WISCONSIN RAPIDS, WI 54494-6563
(715) 424-4082
(715) 424-4868
Mailing address
3200 8TH ST S, WISCONSIN RAPIDS, WI 54494-6563
(715) 424-4082
(715) 424-4868
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17106-40
WI
Other
Enumeration date
09/26/2013
Last updated
08/08/2014
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