Individual provider · Type 1 NPI
Jacob Vance
Pharmacist · Mukwonago, WI
Practice location
212 N Rochester St
Mukwonago, WI 53149-1313
Mailing address
1009 N Jackson St Apt 1307B
Milwaukee, WI 53202-3203
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacist Primary | 183500000X | 22126 (WI) |
Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…
3 other providers at this address
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- Gurjit SinghPharmacist Mukwonago, WI NPI 1184257719
- Katherine Seeley, PharmDPharmacist Mukwonago, WI NPI 1245838226
- Nicholas LadellPharmacist Mukwonago, WI NPI 1295155174
- Raymond M. Lange, PharmDPharmacist Mukwonago, WI NPI 1548651052
About NPI 1104513522
Jacob Vance's National Provider Identifier is 1104513522, issued on Apr 18, 2023. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Mukwonago, WI. The record was last updated on Apr 18, 2023.