Den Dia IV
NPI #1932328242 in De Pere, Wisconsin
Provider Information
- NPI Number
- 1932328242
- Entity Type
- Organization
- Organization Name
- Den Dia IV
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Apr 25, 2007
- Last Updated
- Sep 12, 2007
Practice Location
Authorized Official
- Name
- DENNIS LARSON, RPH
- Title
- PRESIDENT AND PHARMACIST
- Phone
- (920) 336-6128
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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