Individual
MR. MICHEAL S SCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
220 FRENCH ST, PESHTIGO, WI 54157-1218
(715) 582-4237
Mailing address
121 FRENCH ST, PESHTIGO, WI 54157-1215
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12774-40
WI
Other
Enumeration date
06/19/2013
Last updated
06/19/2013
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