Individual
SETH MOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM D.
Contact information
Practice address
1790 SUPERIOR ST, THREE LAKES, WI 54562-9046
(715) 546-3266
(715) 546-2912
Mailing address
1790 SUPERIOR ST, PO BOX 437, THREE LAKES, WI 54562-9046
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18272-40
WI
183500000X
Pharmacist
73797
CA
Other
Enumeration date
11/03/2015
Last updated
06/21/2016
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