Individual
MR. JON SCOTT PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
826 N PLANKINTON AVE, MILWAUKEE, WI 53203-1832
(414) 278-7828
(414) 273-5986
Mailing address
4957 N NEWHALL ST, MILWAUKEE, WI 53217-6049
(414) 332-6344
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11034
WI
Other
Enumeration date
06/09/2006
Last updated
09/06/2012
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