Individual
KAYLA RACKOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
405 W 8TH ST, MONROE, WI 53566-1063
(608) 328-3310
Mailing address
N2371 BETHEL RD, MONROE, WI 53566-9702
(608) 214-6609
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18429-40
WI
Other
Enumeration date
10/08/2016
Last updated
10/08/2016
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