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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JESS ALLAN MANGOLD, RPH

Active

JESS ALLAN MANGOLD, RPH is a Pharmacist healthcare provider located in COMBINED LOCKS, Wisconsin. NPI 1154130037 is currently active in the NPPES registry. Verify at CMS.

Pharmacist · COMBINED LOCKS, WI

Registration Details

NPI Number
1154130037
Provider Type
Individual
Gender
Male
NPI Issued
Jan 6, 2025 (1.5933701720167 yrs)
Last Updated
Jan 6, 2025
License
14360-40 (WI)

Practice Information

Address
644 ROLAND ST
COMBINED LOCKS, WI, 541131402
Browse WI providers · Browse ZIP 54113
Phone
9205708095
Primary Specialty
Pharmacist
183500000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.