Individual
LENNIE BIRKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
2101 W BROADWAY, MONONA, WI 53713-1638
(608) 222-2066
(608) 222-0578
Mailing address
2101 W BROADWAY, MONONA, WI 53713-1638
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11498-40
WI
Other
Enumeration date
06/08/2013
Last updated
06/08/2013
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