Mark Metry, R.PH. Valid NPI
Individual provider · Pharmacist · La Crosse, WI
- NPI
- 1215218565
- Type
- Individual (Type 1)
- Primary specialty
- Pharmacist
- Specialty group
- Pharmacy Service Providers
- Taxonomy code
- 183500000X
- License number
- 10252 (WI)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2011-08-31
- Last updated
- 2011-08-31
Practice location
2626 Rose St
La Crosse, WI 54603-1616
(608) 781-0791