DR. Scott Lewis Fortney, PHARMD

NPI #1316146913 in De Pere, Wisconsin

Provider Information

NPI Number: 1316146913
Entity Type: Individual
Name: DR. Scott Lewis Fortney, PHARMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: PHARMD
Enumeration Date: Jul 13, 2007
Last Updated: Jan 5, 2011

Practice Location

Address: 901 MAIN AVE
City: De Pere
State: Wisconsin
ZIP Code: 54115-1305
Phone: (920) 983-6153

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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