Gundrum, Jason R
Gundrum, Jason R is an individual health care provider with primary practice located at 975 Port Washington Rd , Grafton WI 53024-9201. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Gundrum, Jason R can be contacted via phone (262) 329-1600.Contact Information
Primary practice address
975 Port Washington Rd
Grafton WI 53024-9201
Phone: (262) 329-1600
Fax: (262) 329-1601
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | 14219-40 | Wisconsin |
Profile Details
| NPI number | 1285987628 |
|---|---|
| LBN Legal business name | Gundrum, Jason R |
| Credentials | PHARMD. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 23rd, 2012 |
| Last updated | Oct 23rd, 2012 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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