Individual
MR. GARY R LAWLESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
9059 RAPPS RD, WOODRUFF, WI 54568-9423
(715) 358-3763
(715) 358-5379
Mailing address
PO BOX 1251, WOODRUFF, WI 54568-1251
(715) 358-3763
(715) 358-5379
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10828
WI
Other
Enumeration date
08/23/2011
Last updated
08/23/2011
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