Ellsworth P Gast

NPI #1003186073 in Green Bay, Wisconsin

Provider Information

NPI Number
1003186073
Entity Type
Individual
Name
Ellsworth P Gast
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Pharmacist
Enumeration Date
Jan 9, 2012
Last Updated
Jan 9, 2012

Practice Location

Address
1995 MAIN ST
ZIP Code
54302-3920
Phone
(920) 465-6210

Specialties & Taxonomy Codes

Specialty
Pharmacist

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