NPI 1003192402

Kristin L Jolliff, PHARMD

Practitioner Pharmacist Menomonee Falls, WI

Practice location

Address: N83w15701 Appleton Ave, Menomonee Falls, WI 53051-3042
Phone: (262) 251-3890
Fax: (262) 251-5106
Mailing address: 348d Willow Grove Dr # D, Pewaukee, WI 53072-3957

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 14733-40 (WI)

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Registry record

NPI: 1003192402
Entity type: Individual
Sex (as registered): Female
NPI issued: 29 Oct 2011
Record last updated: 29 Oct 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.