Individual
MACKENZIE NIGL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH, PHARM.D.
Contact information
Practice address
1500 WASHINGTON ST, TWO RIVERS, WI 54241-3045
(920) 794-1225
Mailing address
1965 CLIFFVIEW CT, OSHKOSH, WI 54901-2580
(920) 410-9015
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18106-40
WI
Other
Enumeration date
08/03/2015
Last updated
08/03/2015
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