Individual
GRACE URDAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD, RPH
Contact information
Practice address
810 S IRISH RD, CHILTON, WI 53014-1773
(920) 733-3016
Mailing address
810 S IRISH RD, CHILTON, WI 53014-1773
(920) 849-7330
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
20443-40
WI
Other
Enumeration date
08/16/2020
Last updated
06/10/2023
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