DR. Laura Marie Hantak, PHARMD

NPI #1366796856 in West Bend, Wisconsin

Provider Information

NPI Number
1366796856
Entity Type
Individual
Name
DR. Laura Marie Hantak, PHARMD
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Pharmacist
Credential
PHARMD
Enumeration Date
Nov 5, 2012
Last Updated
Nov 5, 2012

Practice Location

Address
1709 S 18TH AVE
ZIP Code
53095-7808
Phone
(262) 338-6444

Specialties & Taxonomy Codes

Specialty
Pharmacist

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