Individual
CARLY JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8989 S HOWELL AVE, OAK CREEK, WI 53154-3803
(414) 216-0002
Mailing address
17753 W ELGER CT, NEW BERLIN, WI 53146-1807
(414) 659-2525
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
19898-40
WI
Other
Enumeration date
07/07/2019
Last updated
07/07/2019
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