Individual
LIANNA RUIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1291 LOMBARDI ACCESS RD, GREEN BAY, WI 54304-4046
(920) 498-9783
(920) 498-9791
Mailing address
1291 LOMBARDI ACCESS RD, GREEN BAY, WI 54304-4046
(920) 498-9783
(920) 498-9791
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15480-40
WI
Other
Enumeration date
12/14/2016
Last updated
12/14/2016
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