Individual
NANCY LOU SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
123 E WALL ST, EAGLE RIVER, WI 54521-9550
(715) 479-4282
(715) 479-7430
Mailing address
8781 SALLET DR, MINOCQUA, WI 54548-9381
(715) 358-2845
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11541-40
WI
Other
Enumeration date
08/29/2020
Last updated
08/29/2020
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