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Individual

AMY PAT BRIESKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RPH

Contact information

Practice address
126 S LEONARD ST, WEST SALEM, WI 54669-1621
(608) 786-0210
(608) 786-0211
Mailing address
535 JOHNSON ST, ONALASKA, WI 54650-2068
(608) 783-5151
(608) 786-0211

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12366-040
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
12366-040
PHARMACY LICENSE
WI
Enumeration date
05/11/2006
Last updated
01/19/2010
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