Individual
FALY RAKOTOMAHENINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
800 W 10TH ST S, LADYSMITH, WI 54848-6301
(715) 532-2721
Mailing address
800 W 10TH ST S, LADYSMITH, WI 54848-6301
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15765-40
WI
Other
Enumeration date
10/13/2020
Last updated
10/13/2020
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