Individual
DELORA ANN PUFALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
114 W BAYFIELD ST, WASHBURN, WI 54891-1131
(715) 373-5588
(715) 373-0481
Mailing address
PO BOX 40, WASHBURN, WI 54891-0040
(715) 373-5588
(715) 373-0481
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18700-40
WI
Other
Enumeration date
10/11/2018
Last updated
10/11/2018
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