MR. Gary J Korthals, RPH

NPI #1316276660 in Sparta, Wisconsin

Provider Information

NPI Number: 1316276660
Entity Type: Individual
Name: MR. Gary J Korthals, RPH
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Credential: RPH
Enumeration Date: Dec 16, 2009
Last Updated: Apr 11, 2017

Practice Location

Address: 201 S. WATER ST
City: Sparta
State: Wisconsin
ZIP Code: 54656
Phone: (608) 269-2949

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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