Diane Marie Kimball, RPH Valid NPI
Individual provider · Pharmacist · La Crosse, WI
- NPI
- 1144434952
- Type
- Individual (Type 1)
- Primary specialty
- Pharmacist
- Specialty group
- Pharmacy Service Providers
- Taxonomy code
- 183500000X
- License number
- 12881-040 (WI)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2007-05-10
- Last updated
- 2007-07-08
Practice location
700 West Ave S, 1st Floor
La Crosse, WI 54601-4783
(608) 785-1999