Jat Pharmacy, LLC

NPI #1083935233 in Deforest, Wisconsin

Provider Information

NPI Number: 1083935233
Entity Type: Organization
Organization Name: Jat Pharmacy, LLC
Primary Specialty: Pharmacy - Mail Order Pharmacy
Enumeration Date: Jun 22, 2010
Last Updated: Oct 6, 2023

Practice Location

Address: 805 BURTON BOULEVARD
Address 2: SUITE A
City: Deforest
State: Wisconsin
ZIP Code: 53532
Phone: (877) 490-3577

Authorized Official

Name: WILLIAM A. BARTKOWIAK, R.PH., MBA
Title: DIRECTOR OF PHARMACY/PHARMACIST IN
Phone: (877) 490-3577

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacy	333600000X
Pharmacy - Mail Order Pharmacy — Mail Order Pharmacy	3336M0002X	Primary

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