Individual
MARY MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD, RPH
Contact information
Practice address
1317 N 25TH ST, PICKNSAVE PHARMACY 6432, SHEBOYGAN, WI 53081-3168
(920) 457-5839
(920) 457-5853
Mailing address
1317 N 25TH ST, PICKNSAVE PHARMACY 6432, SHEBOYGAN, WI 53081-3168
(920) 457-5839
(920) 457-5853
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10430-40
WI
Other
Enumeration date
07/28/2015
Last updated
07/28/2015
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