Individual
PATTY JO PRINCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
2321 STOUT RD, MENOMONIE, WI 54751-7003
(715) 233-7500
Mailing address
2115 BORDEAUX CT, EAU CLAIRE, WI 54703-6070
(715) 839-0769
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12183-040
WI
Other
Enumeration date
05/10/2007
Last updated
07/08/2007
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