Jeffrey Sveum

Individual provider Active NPI Pharmacist · Wisconsin Dells, WI

NPI 1982014411 · NPPES record last updated May 6, 2014

Key facts

NPI
1982014411
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
11546-40 (WI)
Practice address
330 Fur Dr
Wisconsin Dells, WI 53965-8649
Phone
(414) 587-8743
Fax
(608) 586-6362
NPI assigned
May 6, 2014
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
11546-40WIMDPharmacist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 11546-40 WI Yes

Addresses

Primary practice location

330 Fur Dr
Wisconsin Dells, WI 53965-8649

Mailing address

330 Fur Dr
Wisconsin Dells, WI 53965-8649
Phone (414) 587-8743

Other providers in Wisconsin Dells, WI

All providers in Wisconsin Dells, WI · Pharmacist in Wisconsin

Sources for this page

Verify at the official NPI Registry.