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Individual

DR. JACK DENNY TEMPLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
600 HIGHLAND AVE, F6/133-1530, MADISON, WI 53792-0001
(608) 263-1295
Mailing address
600 HIGHLAND AVE, F6/133-1530, MADISON, WI 53792-0001
(608) 263-1280

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14164-040
WI
183500000X
Pharmacist
17586
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
14164-040
PHARMACIST
WI
01
17586
PHARMACIST
NC
Enumeration date
08/17/2009
Last updated
08/18/2009
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