Individual
MARY JO HOUSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
1021 SUMMIT AVE, OCONOMOWOC, WI 53066-4499
(262) 567-9173
Mailing address
710 MAJESTIC VIEW LN, OCONOMOWOC, WI 53066-6508
(262) 308-5498
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11573
WI
Other
Enumeration date
09/24/2020
Last updated
09/24/2020
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