Individual
ROBERT PROBASCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
115 N WESTERN AVE, WAUPACA, WI 54981-2201
(715) 256-0400
Mailing address
115 N WESTERN AVE, WAUPACA, WI 54981-2201
(715) 256-0400
Taxonomy
Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
Primary
10317-40
WI
Other
Enumeration date
08/06/2020
Last updated
08/06/2020
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