James J Bomkamp, RPH Valid NPI
Individual provider · Pharmacist · La Crosse, WI
- NPI
- 1639184229
- Type
- Individual (Type 1)
- Primary specialty
- Pharmacist
- Specialty group
- Pharmacy Service Providers
- Taxonomy code
- 183500000X
- License number
- 11499 (WI)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2006-07-30
- Last updated
- 2007-07-08
Practice location
1836 South Ave
La Crosse, WI 54601-5429
(608) 782-7300