MR. Michael A Eannelli SR., RPH

NPI #1962831552 in Prairie Du Sac, Wisconsin

Provider Information

NPI Number: 1962831552
Entity Type: Individual
Name: MR. Michael A Eannelli SR., RPH
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Credential: RPH
Enumeration Date: Nov 5, 2013
Last Updated: Nov 5, 2013

Practice Location

Address: 405 WATER ST
City: Prairie Du Sac
State: Wisconsin
ZIP Code: 53578-1126
Phone: (608) 643-3396

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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