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DR. JOSE M CARRASCO PHARM.D.

>> Pharmacist >> Pharmacy Service Providers

Registrant NPI Number: 1215286752

Individual Registrant:
DR. JOSE M CARRASCO PHARM.D.
Gender: M
Sole Proprietor

Location and contact information for practice:
4016 TOWNE LAKES CIR APT #7212 GRAND CHUTE, WI 54913-8006 US
Tel: 708-990-9202  Fax: --

Contact information for business:
4016 TOWNE LAKES CIR APT #7212 GRAND CHUTE, WI 54913-8006 US
Tel: 708-990-9202  Fax: --

Registration Information:
NPI: 1215286752
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y183500000XPharmacy Service Providers
Pharmacist
WI16879-40
N183500000XPharmacy Service Providers
Pharmacist
IL051296162

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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