Individual
JEREMY RICHARD OTT-HOLLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
750 HILLDALE WAY, MADISON, WI 53705-2644
(608) 807-3979
Mailing address
750 HILLDALE WAY, MADISON, WI 53705-2644
(608) 807-3979
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16302-40
WI
183500000X
Pharmacist
5302041433
MI
Other
Enumeration date
10/22/2012
Last updated
03/29/2020
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