Lisa Wicker, RPH

NPI #1023362282 in Green Bay, Wisconsin

Provider Information

NPI Number: 1023362282
Entity Type: Individual
Name: Lisa Wicker, RPH
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: RPH
Enumeration Date: Nov 8, 2012
Last Updated: Nov 8, 2012

Practice Location

Address: 1630 COMMANCHE AVE
City: Green Bay
State: Wisconsin
ZIP Code: 54313-5753
Phone: (920) 430-4555

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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