Randall L Athens, RPH

NPI #1811240823 in Eagle River, Wisconsin

Provider Information

NPI Number: 1811240823
Entity Type: Individual
Name: Randall L Athens, RPH
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: RPH
Enumeration Date: Oct 16, 2012
Last Updated: Oct 16, 2012

Practice Location

Address: 925 E WALL ST
City: Eagle River
State: Wisconsin
ZIP Code: 54521-8720
Phone: (715) 479-6413

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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