Individual
MR. JOHN J POLICELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
645 S MAIN ST, DE FOREST, WI 53532-1421
(608) 846-4736
(608) 846-6892
Mailing address
1514 PARMENTER ST, MIDDLETON, WI 53562-3628
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
R8456
WI
Other
Enumeration date
10/12/2006
Last updated
07/08/2007
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