Randy Ammerman

NPI #1508110693 in Onalaska, Wisconsin

Provider Information

NPI Number: 1508110693
Entity Type: Individual
Name: Randy Ammerman
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: Oct 29, 2012
Last Updated: Oct 29, 2012

Practice Location

Address: 9366 STATE ROAD 16
City: Onalaska
State: Wisconsin
ZIP Code: 54650-8526
Phone: (608) 781-5404

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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