Individual
MRS. HOLLY EDNA DEWANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
1650 S 41ST ST, MANITOWOC, WI 54220-7316
(920) 320-4400
(920) 320-5104
Mailing address
1650 S 41ST ST, MANITOWOC, WI 54220-7316
(920) 320-4400
(920) 320-5104
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12697-040
WI
Other
Enumeration date
04/26/2007
Last updated
10/22/2018
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