Individual
JACOB DYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
8701 W WATERTOWN PLANK RD, WAUWATOSA, WI 53226-3548
(414) 955-8296
Mailing address
8701 W WATERTOWN PLANK RD, WAUWATOSA, WI 53226-3548
(414) 955-8296
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
20370-40
WI
Other
Enumeration date
11/23/2020
Last updated
11/23/2020
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