Individual
KAREN GINNOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
WALMART #1908, 2292 MAIN ST, GREEN BAY, WI 54311
(920) 465-7737
Mailing address
1550 WATERFORD CT, GREEN BAY, WI 54313
(920) 764-2400
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10739
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010101
I HAVE NO OTHER NUMBER
—
Enumeration date
10/15/2020
Last updated
10/15/2020
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