Individual
JENNIFER POTRATZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1250 W SUNSET DR, WAUKESHA, WI 53189-8423
(262) 832-1273
Mailing address
N52W15941 BETTE DR, MENOMONEE FALLS, WI 53051-0604
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18926-40
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18926-40
LICENSE
WI
Enumeration date
07/11/2020
Last updated
07/11/2020
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