JEFFREY RICHARD OTTO

MENOMONEE FALLS, WI
NPI1982991527
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: WI  12967-040)
Enumeration Date2011-07-04
Last Update Date2011-07-04
Business Address
Mr. JEFFREY RICHARD OTTO RpH
N95W17707 SHADY LN
MENOMONEE FALLS, WI 53051-8012
Phone number: 262-415-0005
Mailing Address
Mr. JEFFREY RICHARD OTTO RpH
N95W17707 SHADY LN
MENOMONEE FALLS, WI 53051-8012
Phone number: 262-415-0005
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