Individual
NATHANIEL W BERNDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
4415 STATE ROAD 16, LA CROSSE, WI 54601-1815
(608) 779-0939
(608) 783-0061
Mailing address
4415 STATE ROAD 16, LA CROSSE, WI 54601-1815
(608) 779-0939
(608) 783-0061
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14892-040
WI
Other
Enumeration date
10/04/2011
Last updated
10/04/2011
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