Individual provider · Type 1 NPI

Jinxiang Su

Pharmacist · Green Bay, WI

NPI number 1679180848 Active

Practice location

2301 S Oneida St
Green Bay, WI 54304-5230

Call (920) 490-0424 Map

Mailing address

746 Element Way Apt 415
Green Bay, WI 54304-4678

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X20501-40 (WI)
Pharmacist 183500000X20501-40 (WV)

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 1679180848

Jinxiang Su's National Provider Identifier is 1679180848, issued on Sep 30, 2020. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Green Bay, WI. The record was last updated on Sep 30, 2020.