Individual
LARRY LEE NOWICKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
1255 WILLIAMSON ST, MADISON, WI 53703-3754
(608) 255-9116
(608) 255-9969
Mailing address
1255 WILLIAMSON ST, MADISON, WI 53703-3754
(608) 255-9116
(608) 255-9969
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
9787-40
WI
Other
Enumeration date
08/26/2014
Last updated
08/26/2014
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