Individual
MRS. HANLIE DE VRIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
1000 MINERAL POINT AVE, JANESVILLE, WI 53548-2940
(608) 741-9681
(608) 741-6977
Mailing address
3317 WESTMINSTER RD, JANESVILLE, WI 53546-9652
(608) 757-2871
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14022-040
WI
Other
Enumeration date
07/08/2009
Last updated
07/08/2009
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