Individual
ADAM EDWARD LUBOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
3925 N GATEWAY DR, SUITE 100, APPLETON, WI 54913-7863
(920) 702-4802
Mailing address
3232 N BALLARD RD, SUITE 200, APPLETON, WI 54911-8804
(920) 702-4798
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17658-40
WI
Other
Enumeration date
02/23/2017
Last updated
02/23/2017
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