Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Jason Antoine, DPH

Individual provider Pharmacist · NPI 1972889996

Dr. Jason Antoine, DPH is a Pharmacist in Milwaukee, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2011
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Practice location Address checks out

1433 W Burnham St
Milwaukee, WI 53204-3251
Phone: (414) 672-3017
Fax: (414) 672-3325
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 15254-040 (WI)

Record details

NPI number1972889996
Entity typeIndividual (Type 1)
GenderMale
Credentials DPH
Sole proprietorYes
NPI enumeratedOctober 24, 2011
Last updated in NPPESOctober 24, 2011
Mailing address1433 W Burnham St, Milwaukee, WI 53204-3251

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