Individual
MARY K BRANDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM D
Contact information
Practice address
1100 EMMERS LN, OSHKOSH, WI 54904-7758
(920) 235-4753
Mailing address
429 FOREST VIEW RD, OSHKOSH, WI 54904-7786
(920) 233-3320
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11382-40
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11382-40
LICENSE
WI
Enumeration date
10/21/2011
Last updated
10/21/2011
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