Scott William Procknow, RPH

NPI #1710268842 in Oregon, Wisconsin

Provider Information

NPI Number: 1710268842
Entity Type: Individual
Name: Scott William Procknow, RPH
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Credential: RPH
Enumeration Date: Sep 2, 2011
Last Updated: Sep 2, 2011

Practice Location

Address: 704 N MAIN ST
City: Oregon
State: Wisconsin
ZIP Code: 53575-1004
Phone: (608) 835-6771

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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