Individual
MS. JENNIFER THERESA GRIMM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
10101 S 27TH ST RM 1005, FRANKLIN, WI 53132-7209
(414) 325-4740
Mailing address
300 N BEAUMONT AVE, BROOKFIELD, WI 53005-7943
(262) 784-7956
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12168-40
WI
Other
Enumeration date
12/14/2021
Last updated
12/14/2021
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