Individual
DEVON PENN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3710 E WASHINGTON AVE, MADISON, WI 53704-3647
(608) 242-9483
Mailing address
3710 E WASHINGTON AVE, MADISON, WI 53704-3647
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2137040
WI
Other
Enumeration date
09/06/2022
Last updated
09/06/2022
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