Individual
MR. MICHAEL A EANNELLI SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
405 WATER ST, PRAIRIE DU SAC, WI 53578-1126
(608) 643-3396
(608) 643-4361
Mailing address
405 WATER ST, PRAIRIE DU SAC, WI 53578-1126
(608) 643-3396
(608) 643-4361
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
9102-40
WI
Other
Enumeration date
11/05/2013
Last updated
11/05/2013
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