Nathan Harold Peck

NPI #1992379176 in Onalaska, Wisconsin

Provider Information

NPI Number: 1992379176
Entity Type: Individual
Name: Nathan Harold Peck
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: May 13, 2021
Last Updated: May 13, 2021

Practice Location

Address: 9400 HWY 16 TARGET-T0620
City: Onalaska
State: Wisconsin
ZIP Code: 54650
Phone: (608) 779-5780

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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