MR. David Edward Detienne, RPH

NPI #1174663363 in Webster, Wisconsin

Provider Information

NPI Number
1174663363
Entity Type
Individual
Name
MR. David Edward Detienne, RPH
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Pharmacist
Credential
RPH
Enumeration Date
Feb 7, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
4404 STATE ROAD 70
ZIP Code
54893-9251
Phone
(715) 349-8554

Specialties & Taxonomy Codes

Specialty
Pharmacist

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