Doctor Name: | MRS. JESSICA R SERPE |
NPI Number: | 1659718153 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PHARM D |
License Number: | 8596-42 |
Business Practice Address: | 5300 52nd St Kenosha, WI - 531442310 |
Business Phone Number: | 2626588137 |
Business Fax Number: | 2626588261 |
Mailing Address: | 5300 52nd St, KENOSHA |
State: | WI |
Postal Code: | 531442310 |
Phone Number: | 2626588137 |
Fax Number: | 2626588261 |
NPI Enumeration Date: | 05/24/2013 |
NPI Last Update Date: | 05/24/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 333600000X |
License Number: | 8596-42 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Pharmacy |
Taxonomy Specialization: | |
Taxonomy Definition: | A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |