Individual
DR. MARY LYNN DRISCOLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
2600 HWY 138, STOUGHTON, WI 53589
(608) 873-9262
(608) 873-5496
Mailing address
197 DIXON ST, MADISON, WI 53704-5815
(608) 732-3368
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16646-40
WI
Other
Enumeration date
10/15/2020
Last updated
10/15/2020
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