Individual
JOHN AVERY HALBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
JAMES PHARMACY 215 MAPLE STREET, TURTLE LAKE, WI 54889
(715) 986-2225
Mailing address
704 CLAYTON STREET, CAMERON, WI 54822-9429
(715) 642-1543
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10099040
WI
Other
Enumeration date
01/25/2007
Last updated
07/08/2007
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