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Individual

MR. DAVID SCOTT LATTOS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
R.PH.

Contact information

Practice address
550 DRIFTWOOD ST, WEST SALEM, WI 54669-2200
(608) 786-9030
(866) 764-4884
Mailing address
550 DRIFTWOOD ST, WEST SALEM, WI 54669-2200
(608) 786-9030
(866) 764-4884

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12711
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
12711
WISCONSIN DEPT OF REG
WI
Enumeration date
10/23/2006
Last updated
08/14/2007
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