Dale E Kanak, RPH

NPI #1225071731 in Berlin, Wisconsin

Provider Information

NPI Number: 1225071731
Entity Type: Individual
Name: Dale E Kanak, RPH
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Pharmacist
Credential: RPH
Enumeration Date: Jun 13, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 822 BROADWAY ST
City: Berlin
State: Wisconsin
ZIP Code: 54923-1300
Phone: (920) 361-3433

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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