Individual
BARBARA JEANNE HAGENBROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
610 W ADAMS ST, BLACK RIVER FALLS, WI 54615
(715) 284-4089
(715) 284-1606
Mailing address
PO BOX 156, 610 W ADAMS ST, BLACK RIVER FALLS, WI 54615
(715) 284-4059
(715) 284-1606
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10885
WI
Other
Enumeration date
12/10/2012
Last updated
06/17/2015
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