Jacob Vance

Pharmacist · Mukwonago, WI

Individual Active NPI

NPI number 1104513522

Practice location

212 N Rochester St
Mukwonago, WI 53149-1313
Phone
(262) 363-5235

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NPI record

NPI
1104513522
Entity type
Individual (Type 1)
Enumeration date
April 18, 2023
Last updated
April 18, 2023
Certified
April 18, 2023
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacist Primary 183500000X 22126 WI

Mailing address

1009 N Jackson St Apt 1307b
Milwaukee, WI 53202-3203
Phone
(630) 508-5340

About Jacob Vance

Jacob Vance is a healthcare provider registered in the NPI registry with the primary taxonomy Pharmacist (code 183500000X). The practice location is 212 N Rochester St, Mukwonago, WI 53149-1313. The NPI number 1104513522 was assigned on April 18, 2023 and the record was last updated on April 18, 2023.

Jacob Vance lists a license in the registry: #22126 (WI) for Pharmacist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jacob Vance?

The NPI number is 1104513522.

What is the phone number of Jacob Vance?

The phone number listed for the practice location is (262) 363-5235.

Where is Jacob Vance located?

212 N Rochester St, Mukwonago, WI 53149-1313.

What is the taxonomy code for Jacob Vance?

The primary taxonomy code is 183500000X – Pharmacist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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