Individual
JOLENE IRIS QUACKENBUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
501 GOPHER DR, TOMAH, WI 54660-4513
(608) 377-8409
(608) 377-8748
Mailing address
N4960 OAKVIEW DR, WEST SALEM, WI 54669-9308
(608) 780-2531
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
14322-40
WI
Other
Enumeration date
07/31/2025
Last updated
07/31/2025
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