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Individual

JEFFREY P BROWN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
419 HIGHLAND MEADOWS DR, SPARTA, WI 54656-1555
(608) 269-7411
Mailing address
419 HIGHLAND MEADOWS DR, SPARTA, WI 54656-1555
(608) 269-7411

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
9282
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
9282
PHARMACY LICENSE NUMBER
WI
Enumeration date
11/24/2008
Last updated
11/24/2008
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