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NPI Code Detail

MEDICARE: DR. JACLYN FRITSCHE PHARMD.

MEDICARE: DR. JACLYN FRITSCHE PHARMD.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist64540TX
2183500000XPharmacist15233-040WI

General Provider Information

NPI Number : 1023392594
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JACLYN FRITSCHE PHARMD.
Provider Business Mailing Address
First Line : 311 E CAMPUS MALL
Second Line :
City : MADISON
State : WI
Zip : 53715-1269
Country : US
Telephone Number : 608-251-0042
Fax Number : 608-251-6145
Provider Business Practice Location Address
First Line : 361 INTEGRITY DR
Second Line :
City : MADISON
State : WI
Zip : 53717-1416
Country : US
Telephone Number : 608-298-5781
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/03/2011
Last Update Date : 05/27/2025

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