Provider Demographics
NPI:1164057691
Name:RYPEL, JAMIE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:JAMIE
Middle Name:
Last Name:RYPEL
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2200 BRACKETT AVE
Mailing Address - Street 2:
Mailing Address - City:EAU CLAIRE
Mailing Address - State:WI
Mailing Address - Zip Code:54701-4619
Mailing Address - Country:US
Mailing Address - Phone:715-839-0041
Mailing Address - Fax:
Practice Address - Street 1:2200 BRACKETT AVE
Practice Address - Street 2:
Practice Address - City:EAU CLAIRE
Practice Address - State:WI
Practice Address - Zip Code:54701-4619
Practice Address - Country:US
Practice Address - Phone:715-839-0041
Practice Address - Fax:715-839-0065
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-05
Last Update Date:2020-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI19389-40183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist