Individual
NICHOLAS MALINOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
925 W FULTON ST, WAUPACA, WI 54981-1479
(715) 258-9228
Mailing address
925 W FULTON ST, WAUPACA, WI 54981-1479
(715) 258-9228
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
19647-40
WI
Other
Enumeration date
02/24/2020
Last updated
02/24/2020
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