Individual
AMY MCGLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20 W PIONEER RD, FOND DU LAC, WI 54935-6152
(920) 907-0556
Mailing address
20 W PIONEER RD, FOND DU LAC, WI 54935-6152
(920) 907-0556
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
20489-40
WI
Other
Enumeration date
09/26/2020
Last updated
09/26/2020
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