Individual
JEONG MIN YM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
3807 SPRING ST, MOUNT PLEASANT, WI 53405-1667
(262) 687-8430
Mailing address
3807 SPRING ST, MOUNT PLEASANT, WI 53405-1667
(262) 687-8430
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
051.302771
IL
183500000X
Pharmacist
Primary
20156-40
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
EAD827897949
BC BS
WI
Enumeration date
11/07/2022
Last updated
11/07/2022
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