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Individual

SUSAN R O'LOUGHLIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RPH

Contact information

Practice address
7102 MINERAL POINT RD, MADISON, WI 53717-1706
(608) 828-7688
Mailing address
600 HIGHLAND AVE, COMPLIANCE MAIL CODE 2433, MADISON, WI 53792-0001
(608) 273-1490

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10671-040
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
10671-040
PHARMACIST
WI
Enumeration date
11/29/2006
Last updated
10/23/2009
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