Individual
LISA PETRACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1011 E SPRUCE ST, ABBOTSFORD, WI 54405-9647
(715) 223-4494
(715) 223-2663
Mailing address
1011 E SPRUCE ST, ABBOTSFORD, WI 54405-9647
(715) 223-4494
(715) 223-2663
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17596-40
WI
Other
Enumeration date
07/31/2014
Last updated
07/31/2014
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