Alexander Nenov, Pharm.D
Pharmacist in Jefferson, WI. Individual provider (NPI-1).
NPI number1982204376
StatusActive
Last updated in NPPESOct 27, 2020
Details
- NPI
- 1982204376
- Entity type
- Individual (NPI-1)
- Name
- Alexander Nenov
- Credential
- Pharm.D
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Oct 27, 2020
- Certification date
- Oct 16, 2020
- Last updated
- Oct 27, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 16944-40 | WI | Yes |
Practice location
1520 S Main StJefferson, WI 53549-2940
Phone 920-674-2873
Mailing address
1520 S Main StJefferson, WI 53549-2940
Phone 920-674-2873
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