John Christopher Bass, PHARMD Valid NPI
Individual provider · Pharmacist · Watertown, WI
- NPI
- 1134404213
- Type
- Individual (Type 1)
- Primary specialty
- Pharmacist
- Specialty group
- Pharmacy Service Providers
- Taxonomy code
- 183500000X
- License number
- 14367-040 (WI)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2011-10-20
- Last updated
- 2011-10-20
Practice location
301 W Main St
Watertown, WI 53094-7629
(920) 206-9588