Individual
DWAYNE PINON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
12225 36TH AVE, PLEASANT PRAIRIE, WI 53158-4227
(262) 597-5107
Mailing address
12225 36TH AVE, PLEASANT PRAIRIE, WI 53158-4227
Taxonomy
Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
Primary
051038151
IL
Other
Enumeration date
06/08/2022
Last updated
06/08/2022
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