Individual
PATRICK WILLIAM FREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
536 5TH AVE, ANTIGO, WI 54409
(715) 623-2631
(715) 623-6887
Mailing address
W6980 GRUENBERG RD, POLAR, WI 54418
(715) 623-7793
(715) 623-6887
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
8169040
WI
Other
Enumeration date
10/17/2006
Last updated
08/17/2007
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