Lance Buth

NPI #1174122386 in Shawano, Wisconsin

Provider Information

NPI Number: 1174122386
Entity Type: Individual
Name: Lance Buth
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: Oct 19, 2020
Last Updated: Oct 19, 2020

Practice Location

Address: 1244 E GREEN BAY ST
City: Shawano
State: Wisconsin
ZIP Code: 54166-2208
Phone: (715) 524-5983

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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