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Individual

EDWARD RAHN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHARMACIST

Contact information

Practice address
2383 STATE HIGHWAY 17, PHELPS, WI 54554-9472
(715) 545-2346
(715) 545-3722
Mailing address
949 STATE HIGHWAY 17, PHELPS, WI 54554-9425
(715) 545-2290

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
7387-040
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
7387-040
PHARMACY LICENSE
WI
Enumeration date
10/18/2006
Last updated
07/08/2007
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