Individual
KRISTA HANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
522 W MAIN ST, SUN PRAIRIE, WI 53590-2834
(608) 220-0523
Mailing address
522 W MAIN ST, SUN PRAIRIE, WI 53590-2834
(608) 220-0523
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16324040
WI
Other
Enumeration date
11/15/2011
Last updated
11/15/2011
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