Individual
KATO JAMES NICHOLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
351 N EDWARDS BLVD, LAKE GENEVA, WI 53147-4563
(262) 248-7885
Mailing address
351 N EDWARDS BLVD, LAKE GENEVA, WI 53147-4563
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
22312-40
WI
Other
Enumeration date
08/17/2023
Last updated
08/17/2023
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