JO ELLEN LUSARDI

GREEN BAY, WI
NPI1073898193
Former NameJO ELLEN SMILTNECK
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: WI  12476-40)
Enumeration Date2011-10-20
Last Update Date2011-10-20
Business Address
-- JO ELLEN LUSARDI RPH
1401 E MASON ST
GREEN BAY, WI 54301-3330
Phone number: 920-435-7679
Mailing Address
-- JO ELLEN LUSARDI RPH
1401 E MASON ST
GREEN BAY, WI 54301-3330
Phone number: 920-435-7679
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