Lance Edward Wiese, RPH

NPI #1396865416 in Edgerton, Wisconsin

Provider Information

NPI Number
1396865416
Entity Type
Individual
Name
Lance Edward Wiese, RPH
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Pharmacist
Credential
RPH
Enumeration Date
Mar 30, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
711 N MAIN ST
ZIP Code
53534-1530
Phone
(608) 884-3308

Specialties & Taxonomy Codes

Specialty
Pharmacist

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