Individual
RANDY AMMERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9366 STATE ROAD 16, ONALASKA, WI 54650-8526
(608) 781-5404
Mailing address
9366 HWY 16, ONALASKA, WI 54650
(608) 781-5404
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
8798
WI
Other
Enumeration date
10/29/2012
Last updated
10/29/2012
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