Wendy Wallis RPH

NPI 1093723587 - Pharmacist - 183500000X

NPI Details
NPI 1093723587
Gender Female
Enumeration Date 08/03/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
N77W24850 KATHLEEN CT
PCC SERVICES
SUSSEX WI, 53089-1983, US
Phone (262) 246-9644
Fax
Business Location
N77W24850 KATHLEEN CT
SUSSEX WI, 53089-1983, US
Phone
Fax
Toxanomy
Taxonomy Code 183500000X
License State Wisconsin
License Number 11528
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According to our database, Wendy Wallis RPH NPI is 1093723587, taxonomy code is 183500000X and license number is 11528, license state is located at Wisconsin. Wendy Wallis RPH physically located at N77w24850 Kathleen Ct, Sussex WI, 53089-1983. NPI Number Wendy Wallis RPH has the Individual type.

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1093723587 NPI number is provided on an as is basis without warranty of any kind. 1093723587 is maintained by the National Plan & Provider Enumeration System. The contents of Wendy Wallis RPH are for informational purposes only.