Individual provider · Type 1 NPI

Jason R. Gundrum, PHARMD.

Pharmacist · Grafton, WI

NPI number 1285987628 Active

Practice location

975 Port Washington Rd
Grafton, WI 53024-9201

Fax (262) 329-1601

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X14219-40 (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…

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About NPI 1285987628

Jason R. Gundrum, PHARMD.'s National Provider Identifier is 1285987628, issued on Oct 23, 2012. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Grafton, WI. The record was last updated on Oct 23, 2012.