Individual
DR. BECKY AULT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
2410 8TH ST S, WISCONSIN RAPIDS, WI 54494-6159
(715) 423-2340
Mailing address
2410 8TH ST S, WISCONSIN RAPIDS, WI 54494-6159
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17668
WI
Other
Enumeration date
03/04/2020
Last updated
03/04/2020
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