Individual
MR. KENNETH SCHAEFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
527 LINDEN CT, VERONA, WI 53593-1683
(608) 848-9142
Mailing address
527 LINDEN CT, VERONA, WI 53593-1683
(608) 848-9142
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
051.028504
IL
183500000X
Pharmacist
Primary
13413-40
WI
Other
Enumeration date
02/10/2012
Last updated
02/10/2012
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