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Individual
MARA ANNE SCHWANDT
Active
Individual
MARA ANNE SCHWANDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM D
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14406-40
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14406-40
RETAIL PHARMACY
WI
Enumeration date
08/25/2020
Last updated
08/25/2020
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