Cannestra, Jacob Thomas

Cannestra, Jacob Thomas is an individual health care provider with primary practice located at 55 W Pioneer Rd , Fond Du Lac WI 54935-6151. He recently has only one registered license in Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, which is considered as his primary health care specialty. Cannestra, Jacob Thomas can be contacted via phone (920) 923-7780.

Contact Information

Primary practice address
55 W Pioneer Rd Fond Du Lac WI 54935-6151
Phone: (920) 923-7780
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 22272-40 Wisconsin

Profile Details

NPI number 1467134635
LBN Legal business name Cannestra, Jacob Thomas
Credentials PHARMD
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 7th, 2023
Last updated Jun 13th, 2026 - about 4 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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