Individual
PAUL RUSSELL KONKOL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
752 N HIGH POINT RD, MADISON, WI 53717-2236
(608) 824-4500
Mailing address
752 N HIGH POINT RD, MADISON, WI 53717-2236
(608) 824-4500
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14645-040
WI
Other
Enumeration date
07/08/2013
Last updated
08/09/2013
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