Individual
JUSTIN C STAKSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD, BCPS
Contact information
Practice address
2400 ROSE ST, LA CROSSE, WI 54603-1612
(608) 781-3300
Mailing address
2400 ROSE ST, LA CROSSE, WI 54603-1612
(608) 781-3300
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
14519-40
WI
Other
Enumeration date
04/28/2014
Last updated
04/28/2014
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