What is GWENDOLYN JEFFRO's NPI number?

The NPI number assigned to this healthcare provider is 1891039467, enumerated as a organization on November 20, 2012.

Where is the provider located?

The provider is located at 3707 N RICHARDS ST MILWAUKEE, WI 53212 and the phone number is (414) 967-7006.

What is the provider's specialty?

The provider's specialty is Non-Pharmacy Dispensing Site with taxonomy code 332900000X.

GWENDOLYN JEFFRO - NPI 1891039467 - Non-Pharmacy Dispensing Site in Milwaukee, WI

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About Gwendolyn Jeffro NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GWENDOLYN JEFFRO (NPI 1891039467) is a healthcare organization registered as a non-pharmacy dispensing site in Milwaukee, Wisconsin and active in the NPI registry since November 2012. The organization lists Gwendolyn K Jeffro, Dispending, as its authorized official.

NPPES Registry Identity

NPI1891039467

Entity TypeOrganization

Primary Taxonomy332900000X

Legal Business NameGWENDOLYN JEFFRO

Location Address3707 N RICHARDS STMilwaukee, WI 53212-1673

Mailing Address3707 N Richards StMilwaukee, WI 53212-1673 · (414) 967-7006 · Fax (414) 967-7020

Phone(414) 967-7006

Fax(414) 967-7020

Organization SubpartNo

Authorized OfficialGwendolyn K JeffroDispending · (414) 967-7006

Enumeration DateNovember 20, 2012

Last NPPES UpdateJanuary 14, 2013

✔ NPI 1891039467 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNon-Pharmacy Dispensing SiteSuppliers

Taxonomy Code332900000X

License✔ Licensed in WI · 32807-31

Definition

A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)

3707 N RICHARDS ST, Milwaukee, WI 53212

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