Colette A. Probasco

NPI #1356940845 in Hortonville, Wisconsin

Provider Information

NPI Number: 1356940845
Entity Type: Individual
Name: Colette A. Probasco
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Oct 26, 2020
Last Updated: Oct 26, 2020

Practice Location

Address: N1021 BLUES LN
City: Hortonville
State: Wisconsin
ZIP Code: 54944-9265
Phone: (715) 584-6827

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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