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

JASEN KENNETH BROOKSHAW, PHARMD, RPH

Active

JASEN KENNETH BROOKSHAW, PHARMD, RPH is a Pharmacist healthcare provider located in RICE LAKE, Wisconsin. NPI 1528312345 is currently active in the NPPES registry. Verify at CMS.

Pharmacist · RICE LAKE, WI

Registration Details

NPI Number
1528312345
Provider Type
Individual
Gender
Male
NPI Issued
Oct 31, 2012 (13.756105910364 yrs)
Last Updated
Oct 31, 2012
Licenses
16693-40 (WI)
121036 (MN)

Practice Information

Address
320 S ACCESS RD
RICE LAKE, WI, 548688572
Browse WI providers · Browse ZIP 54868
Phone
7152367414
Primary Specialty
Pharmacist
183500000X
Additional Specialty
Pharmacist

Other Pharmacist Providers in RICE LAKE, WI

Name Credential NPI
DR. WENDY M BROMBEREK PHARM D 1457361321
DALE HENRY PRACHT RPH 1487976239
PAUL WILLIAM MILLER RPH 1215213657
MARGUERITE MARY VAVROSKY RPH 1376810358
MARK STEVEN WESTERN RPH 1528312337
JEANNE M LARSON PHARMD. 1154675767
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.