MR. Robert Maurice Halverson JR., RPH

NPI #1881761021 in Sparta, Wisconsin

Provider Information

NPI Number: 1881761021
Entity Type: Individual
Name: MR. Robert Maurice Halverson JR., RPH
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Credential: RPH
Enumeration Date: Nov 30, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 1123 SHERRI DR
City: Sparta
State: Wisconsin
ZIP Code: 54656-2084
Phone: (608) 269-1619

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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