Individual
JOSEPH FREDERICK GRYCOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM D
Contact information
Practice address
729 W NORTHLAND AVE, APPLETON, WI 54914-1426
(920) 954-8100
(920) 954-0379
Mailing address
729 W NORTHLAND AVE, APPLETON, WI 54914-1426
(920) 954-8100
(920) 954-0379
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14511-40
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14511-040
STATE PHARMACIST LICENSE
WI
Enumeration date
10/21/2011
Last updated
10/21/2011
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