Individual
ANDREW THIEME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
428 WALTON DR, PLYMOUTH, WI 53073-5019
(920) 892-2656
Mailing address
428 WALTON DR, PLYMOUTH, WI 53073-5019
(920) 892-2656
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15938-40
WI
Other
Enumeration date
10/15/2020
Last updated
10/15/2020
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