Individual
JINXIANG SU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2301 S ONEIDA ST, GREEN BAY, WI 54304-5230
(920) 490-0424
Mailing address
746 ELEMENT WAY APT 415, GREEN BAY, WI 54304-4678
(615) 839-7541
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
20501-40
WI
183500000X
Pharmacist
20501-40
WV
Other
Enumeration date
09/30/2020
Last updated
09/30/2020
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