Individual
ANN MARY ISACC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS,PHARM D,BCPS,CGP
Contact information
Practice address
3107 MARKET PL, ONALASKA, WI 54650-6756
(608) 781-8355
Mailing address
853 ASPEN VALLEY DR, ONALASKA, WI 54650-8219
Taxonomy
Speciality
Code
Description
License number
State
1835G0303X
Geriatric Pharmacist
15324-40
WI
1835P1200X
Pharmacotherapy Pharmacist
Primary
15324-40
WI
Other
Enumeration date
05/09/2014
Last updated
05/20/2014
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