MR. Jerome Paul Boortz, RPH

NPI #1659713691 in Onalaska, Wisconsin

Provider Information

NPI Number: 1659713691
Entity Type: Individual
Name: MR. Jerome Paul Boortz, RPH
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Credential: RPH
Enumeration Date: Jul 18, 2013
Last Updated: Jul 18, 2013

Practice Location

Address: 9366 STATE ROAD 16
City: Onalaska
State: Wisconsin
ZIP Code: 54650-8526
Phone: (608) 781-5404

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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