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Pharmacy Service Providers Pharmacist Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Provider NPI: 1437417615

Provider Information:
Gender: M
Sole Proprietor

Practice Location:
1000 N OAK AVE  MARSHFIELD, WI 54449-5703 US
Tel: 715-221-7737  Fax: --

Business Mailing Address:
304 W PARK ST  MARSHFIELD, WI 54449-3648 US
Tel: 715-221-7737  Fax: --

NPI Information:
NPI: 1437417615
Entity Type: Individual


PrimaryCodeCategory/DescriptionStateLicense Number
Y1835P0018XPharmacy Service Providers
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Other Provider Identifiers:


American Medical Association 2012 taxonomy code information

Code: 1835P0018X





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