Fond Du Lac Prescription Center, Ltd
NPI #1548372261 in Fond Du Lac, Wisconsin
Provider Information
- NPI Number
- 1548372261
- Entity Type
- Organization
- Organization Name
- Fond Du Lac Prescription Center, Ltd
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Aug 31, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 52 SHEBOYGAN ST
- City
- Fond Du Lac
- State
- Wisconsin
- ZIP Code
- 54935-4220
- Phone
- (920) 923-1260
Authorized Official
- Name
- ROBERT A. GRINNELL, RPH
- Title
- PRESIDENT
- Phone
- (920) 923-1260
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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