Individual
ANTHONY LANE WACHOLZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1703 MADISON AVE, MANKATO, MN 56001-5447
(507) 345-7215
(507) 519-0929
Mailing address
23808 STATE HIGHWAY 13, NEW RICHLAND, MN 56072-2916
(507) 461-1753
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
123252
MN
Other
Enumeration date
06/13/2017
Last updated
11/06/2019
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