NPIRadar

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

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