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Individual

RICHARD ARTHUR EGAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
3710 E WASHINGTON AVE, MADISON, WI 53704-3647
(608) 242-9483
Mailing address
3710 E WASHINGTON AVE, MADISON, WI 53704-3647

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
913440
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
33240400
WI
Enumeration date
11/23/2011
Last updated
11/23/2011
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