Lisa Petrack, PHARMD

NPI #1689082893 in Abbotsford, Wisconsin

Provider Information

NPI Number: 1689082893
Entity Type: Individual
Name: Lisa Petrack, PHARMD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Credential: PHARMD
Enumeration Date: Jul 31, 2014
Last Updated: Jul 31, 2014

Practice Location

Address: 1011 E SPRUCE ST
City: Abbotsford
State: Wisconsin
ZIP Code: 54405-9647
Phone: (715) 223-4494

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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