NPI 1104455336

Jazmynn Worman

Practitioner Pharmacist Mequon, WI

Practice location

Address: 1424 W Mequon Rd STE B, Mequon, WI 53092-3226
Phone: (262) 581-0411
Fax: (262) 923-1002

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 18838-40 (WI)

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Registry record

NPI: 1104455336
Entity type: Individual
Sex (as registered): Female
NPI issued: 8 Apr 2020
Record last updated: 8 Apr 2020

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.