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Individual

MR. DARRIN D WIRKES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
R.PH.

Contact information

Practice address
2585 LINEVILLE RD, SHOPKO EXPRESS #502, GREEN BAY, WI 54313-7122
(920) 662-9450
(920) 662-1912
Mailing address
2585 LINEVILLE RD, SHOPKO EXPRESS #502, GREEN BAY, WI 54313-7122
(920) 662-9450
(920) 662-1912

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11915-40
WI

Other

Enumeration date
06/04/2011
Last updated
11/21/2013
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