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Individual

DALE HENRY PRACHT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
2601 SOUTH MAIN ST, KMART PHARMACY, RICE LAKE, WI 54868
(715) 234-3292
(715) 234-5764
Mailing address
1316 WEDGEWOOD AVE, EAU CLAIRE, WI 54703-1974
(715) 831-8964

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
7785
WI

Other

Enumeration date
02/22/2010
Last updated
02/22/2010
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