Fhhp- Kewaskum Llc

NPI 1790121382 - Pharmacy - 3336L0003X

NPI Details
NPI 1790121382
Enumeration Date 05/22/2013
Last Updated 07/02/2014
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name MATT MATT
Position PRESIDENT/CEO
Phone (262) 477-1700
Fax (262) 477-1703
Practice Location
901 FOND DU LAC AVE
KEWASKUM WI, 53040-9161, US
Phone (262) 477-1700
Fax (262) 477-1703
Business Location
333 LOWVILLE RD
RIO WI, 53960-9437, US
Phone (920) 992-6800
Fax (920) 992-6801
Toxanomy
Taxonomy Code 3336L0003X
License State
License Number
Remove 1790121382 NPI Number
 

According to our database, Fhhp- Kewaskum Llc NPI is 1790121382, taxonomy code is 3336L0003X Fhhp- Kewaskum Llc physically located at 901 Fond Du Lac Ave, Kewaskum WI, 53040-9161. NPI Number 1033115704 has the healthcare provider type.

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1790121382 NPI number is provided on an as is basis without warranty of any kind. 1790121382 is maintained by the National Plan & Provider Enumeration System. The contents of Fhhp- Kewaskum Llc are for informational purposes only.