Individual
CHRISTIAN OWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
505 GOPHER DR STE A, TOMAH, WI 54660-4513
(608) 567-2811
(608) 567-2814
Mailing address
505 GOPHER DR STE A, TOMAH, WI 54660-4513
(608) 567-2811
(608) 567-2814
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12943-40
WI
Other
Enumeration date
11/01/2018
Last updated
09/01/2020
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