Jo Ellen Lusardi, RPH

NPI #1073898193 in Green Bay, Wisconsin

Provider Information

NPI Number: 1073898193
Entity Type: Individual
Name: Jo Ellen Lusardi, RPH
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Credential: RPH
Enumeration Date: Oct 20, 2011
Last Updated: Oct 20, 2011

Practice Location

Address: 1401 E MASON ST
City: Green Bay
State: Wisconsin
ZIP Code: 54301-3330
Phone: (920) 435-7679

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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