Individual
MR. KENJI HAMAMOTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
2840 21ST PL S, LA CROSSE, WI 54601-7302
(608) 784-6500
(608) 784-6504
Mailing address
3165 26TH ST S, LA CROSSE, WI 54601-7654
(608) 792-8169
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
051.034750
IL
183500000X
Pharmacist
Primary
1087940
WI
183500000X
Pharmacist
120734
MN
Other
Enumeration date
03/21/2013
Last updated
01/08/2016
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