Individual
SELENA RICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
153 W LINCOLN ST, AUGUSTA, WI 54722-9152
(715) 286-2515
Mailing address
36363 MAIN ST, WHITEHALL, WI 54773-9186
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18909
WI
Other
Enumeration date
08/03/2020
Last updated
08/03/2020
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