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Individual

MARK LABOTT

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
W180N8085 TOWN HALL RD, PHARMACY, MENOMONEE FALLS, WI 53051-3518
(262) 257-3070
Mailing address
W180N8085 TOWN HALL RD, PHARMACY, MENOMONEE FALLS, WI 53051-3518

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12204
WI

Other

Enumeration date
07/07/2005
Last updated
07/08/2007
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