Individual
PETE DICKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
36903 E WISCONSIN AVE, OCONOMOWOC, WI 53066-3144
(262) 567-7938
Mailing address
36903 E WISCONSIN AVE, OCONOMOWOC, WI 53066-3144
(262) 567-7938
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11222-40
WI
Other
Enumeration date
02/12/2015
Last updated
02/12/2015
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