Provider Demographics
NPI:1629088190
Name:ROWE, JENNIFER ANN (PHARM D)
Entity Type:Individual
Prefix:MS
First Name:JENNIFER
Middle Name:ANN
Last Name:ROWE
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7631 PRAIRIE RD
Mailing Address - Street 2:
Mailing Address - City:EAGLE RIVER
Mailing Address - State:WI
Mailing Address - Zip Code:54521-9660
Mailing Address - Country:US
Mailing Address - Phone:715-479-8547
Mailing Address - Fax:715-479-8547
Practice Address - Street 1:2383 HWY 17
Practice Address - Street 2:
Practice Address - City:PHELPS
Practice Address - State:WI
Practice Address - Zip Code:54554-9472
Practice Address - Country:US
Practice Address - Phone:715-545-2346
Practice Address - Fax:715-545-3722
Is Sole Proprietor?:No
Enumeration Date:2006-08-08
Last Update Date:2008-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI13962-040183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist