Jacob Vance is a Pharmacist based in Milwaukee, WI. Jacob Vance practices in Mukwonago, WI. The NPI Number for Jacob Vance is 1104513522 and holds a License No. 22126 (Wisconsin).
The current practice location address for Jacob Vance is 212 N Rochester St, Mukwonago, WI and can be reached out via phone at 262-363-5235.
Location: 212 N Rochester St, Mukwonago, WI, 53202-3203
Provider Profile Details
NPI Number
1104513522
Provider Name
Jacob Vance
Credential
Provider Entity Type
Individual
Gender
Male
Address
212 N Rochester St, Mukwonago, WI, 53202-3203
Phone Number
262-363-5235
Fax Number
Provider Enumeration Date
04/18/2023
Last Update Date
03/10/2024
Provider Business Practice Location Address Details
Address
212 N Rochester St
City
State
Zip
53149-1313
Phone Number
262-363-5235
Fax Number
Provider Business Mailing Address Details
Address
212 N Rochester St
City
State
Zip
53149-1313
Phone Number
262-363-5235
Fax Number
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
License No.
22126 (Wisconsin)
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
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