Individual
ANGELA PODEVELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2415 STATE RD, LA CROSSE, WI 54601-6137
(608) 788-0803
(608) 788-5084
Mailing address
2415 STATE RD, LA CROSSE, WI 54601-6137
(608) 788-0803
(608) 788-5084
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
122053
MN
183500000X
Pharmacist
Primary
17157-40
WI
Other
Enumeration date
02/12/2016
Last updated
02/12/2016
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