Individual
KRISTIN ANNE PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
328 E MAIN ST, OMRO, WI 54963-1420
(920) 685-5041
Mailing address
328 E MAIN ST, OMRO, WI 54963-1420
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
19917-40
WI
Other
Enumeration date
11/27/2019
Last updated
11/27/2019
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