Individual
SARAH ANN NACKERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
925 W FULTON ST, WAUPACA, WI 54981-1479
(715) 258-9228
Mailing address
E9571 BREEZEWAY DR, FREMONT, WI 54940-9639
(612) 396-8810
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16016-40
WI
Other
Enumeration date
10/26/2011
Last updated
10/26/2011
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