MS. Patricia L. Detert, RPH

NPI #1225474240 in Wausau, Wisconsin

Provider Information

NPI Number: 1225474240
Entity Type: Individual
Name: MS. Patricia L. Detert, RPH
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Credential: RPH
Enumeration Date: May 16, 2013
Last Updated: May 16, 2013

Practice Location

Address: 2613 BLUEBIRD LN
City: Wausau
State: Wisconsin
ZIP Code: 54401-7171
Phone: (715) 842-9563

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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