Individual
BRUCE ALLEN KOBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
810 S IRISH RD, CHILTON, WI 53014-1773
(920) 849-7330
(920) 849-3145
Mailing address
810 S IRISH RD, CHILTON, WI 53014-1773
(920) 849-7330
(920) 849-3145
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
9666
WI
Other
Enumeration date
10/14/2020
Last updated
10/14/2020
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