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JAT PHARMACY, LLC

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Current Date & Time 4/7/2026 7:31 PM

Status Active

Sub-Status

Sub-Category MO – Mail Order Pharmacy

Board Board of Pharmacy

License Type Terminal - Non-Resident Pharmacy

License Number 022090950

License Issue Date 11/3/10

License Effective Date 4/1/25

License Expiration Date 3/31/27

Street Address 805 Burton Blvd Unit A

Zipcode 53532-3303

City Deforest

State WI

Country United States

Board Action No

Supervised By:

Supervisor Name	Supervisor License	Status	Start Date	End Date
Matthew Holicek	03446445	Pending	10/24/2016
William Bartkowiak	03446452	Active	3/5/2019

Current date & time: 4/7/2026 7:31 PM

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