Individual
MR. ROBERT MAURICE HALVERSON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1123 SHERRI DR, SPARTA, WI 54656-2084
(608) 269-1619
Mailing address
1123 SHERRI DR, SPARTA, WI 54656-2084
(608) 269-1619
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
8755
WI
Other
Enumeration date
11/30/2006
Last updated
07/08/2007
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