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NPI Code Detail

MEDICARE: MR. DON RICHARD JANCZAK PHARMD BCPS

MEDICARE: MR. DON RICHARD JANCZAK PHARMD BCPS
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
11835P1200XPharmacotherapy Pharmacist10119-040WI

General Provider Information

NPI Number : 1558356998
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. DON RICHARD JANCZAK PHARMD BCPS
Provider Business Mailing Address
First Line : S34W31341 LONDON DR
Second Line :
City : WAUKESHA
State : WI
Zip : 53189-9064
Country : US
Telephone Number : 262-968-9770
Fax Number : 608-756-6580
Provider Business Practice Location Address
First Line : 1000 MINERAL POINT AVE
Second Line :
City : JANESVILLE
State : WI
Zip : 53548-2940
Country : US
Telephone Number : 608-756-6664
Fax Number : 608-756-6580
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/13/2005
Last Update Date : 07/08/2007

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