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Dr. Jacob Thomas Cannestra, PharmD

Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Fond Du Lac, WI. Individual provider (NPI-1).

NPI number1467134635
StatusActive
Last updated in NPPESJun 13, 2026

Details

NPI
1467134635
Entity type
Individual (NPI-1)
Name
Dr. Jacob Thomas Cannestra
Credential
PharmD
Sex
Male
Sole proprietor
No
Enumeration date
Aug 7, 2023
Certification date
Jun 13, 2026
Last updated
Jun 13, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist22272-40WIYes

Practice location

55 W Pioneer Rd
Fond Du Lac, WI 54935-6151

Phone 920-923-7780

Mailing address

315 Lampert St
Oshkosh, WI 54901-5303

Phone 414-581-2807

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Other Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist providers in Fond Du Lac, WI

All 6 Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist providers in Fond Du Lac · All 1,544 providers in Fond Du Lac

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