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Individual

BRIELLE WENTHUR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHARMD

Contact information

Practice address
777 HIGHLAND AVE, BOX 165, MADISON, WI 53705
(812) 608-0073
Mailing address
777 HIGHLAND AVE, BOX 165, MADISON, WI 53705

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
20680-40
WI
183500000X
Pharmacist
26024271A
IN

Other

Enumeration date
04/26/2016
Last updated
10/07/2024
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