Individual
MARY JANE JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
610 WEST ADAMS ST., BLACK RIVER FALLS,, WI 54615
(715) 284-4089
(715) 284-1606
Mailing address
P.O. BOX 156, 610 W. ADAMS ST, BLACK RIVER FALLS,, WI 54615
(715) 284-4089
(715) 284-1606
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
8350
WI
Other
Enumeration date
12/11/2012
Last updated
12/11/2012
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