Individual
SUSAN RENEE DIAMOND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
109 N MARQUETTE RD, PRAIRIE DU CHIEN, WI 53821-1512
(608) 326-0581
(608) 326-0586
Mailing address
109 N MARQUETTE RD, PRAIRIE DU CHIEN, WI 53821-1512
(608) 326-0581
(608) 326-0586
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17787-40
WI
Other
Enumeration date
12/05/2014
Last updated
12/05/2014
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