Individual
ALICE W FUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
4198 NAKOOSA TRL, MADISON, WI 53714-1362
(608) 241-2151
(608) 241-7882
Mailing address
4333 ROCK CREST RD, MIDDLETON, WI 53562-5235
(608) 831-2044
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
9758-40
WI
Other
Enumeration date
08/28/2019
Last updated
08/28/2019
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