Individual
KATIE ROSE SWANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2500 LAKE SHORE DR E, ASHLAND, WI 54806-2421
(715) 682-3660
(715) 685-9941
Mailing address
65301 PEARCE RD, ASHLAND, WI 54806-4519
(715) 685-8102
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17064
WI
Other
Enumeration date
10/18/2020
Last updated
10/18/2020
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