Individual
ANGELA ROMPORTL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
920 STATE ROAD 136, BARABOO, WI 53913-9254
(608) 356-1779
Mailing address
920 STATE ROAD 136, BARABOO, WI 53913-9254
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
19973-40
WI
Other
Enumeration date
11/19/2020
Last updated
11/19/2020
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