Individual
ROBERT MICHAEL AUGUSTINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
807 S MAIN ST, DE FOREST, WI 53532-1480
(608) 846-3674
(608) 846-3684
Mailing address
N9850 STATE ROAD 22, PARDEEVILLE, WI 53954-9753
(608) 429-9348
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10733
WI
Other
Enumeration date
09/04/2011
Last updated
09/04/2011
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