Individual
CHRISTO VERMEULEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1300 PABST FARMS CIR, OCONOMOWOC, WI 53066-4884
(262) 200-7000
Mailing address
1300 PABST FARMS CIR, OCONOMOWOC, WI 53066-4884
(262) 200-7000
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14295-040
WI
Other
Enumeration date
02/06/2015
Last updated
02/06/2015
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