Larry Lee Nowicki R.PH.

NPI 1770983819 - Pharmacist - 183500000X

NPI Details
NPI 1770983819
Gender Male
Enumeration Date 08/26/2014
Last Updated 08/26/2014
Entity Type Individual
Active Over 2 years ago
Practice Location
1255 WILLIAMSON ST
MADISON WI, 53703-3754, US
Phone (608) 255-9116
Fax (608) 255-9969
Business Location
1255 WILLIAMSON ST
MADISON WI, 53703-3754, US
Phone (608) 255-9116
Fax (608) 255-9969
Toxanomy
Taxonomy Code 183500000X
License State Wisconsin
License Number 9787-40
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According to our database, Larry Lee Nowicki R.PH. NPI is 1770983819, taxonomy code is 183500000X and license number is 9787-40, license state is located at Wisconsin. Larry Lee Nowicki R.PH. physically located at 1255 Williamson St, Madison WI, 53703-3754. NPI Number Larry Lee Nowicki R.PH. has the Individual type.

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1770983819 NPI number is provided on an as is basis without warranty of any kind. 1770983819 is maintained by the National Plan & Provider Enumeration System. The contents of Larry Lee Nowicki R.PH. are for informational purposes only.