Individual
MS. LAURIE A FERAN-HALVERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
4801 WASHINGTON AVE, RACINE, WI 53406-4219
(262) 637-8444
Mailing address
2545 AMYS BND, RACINE, WI 53402-5505
(262) 681-3037
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11390-40
WI
Other
Enumeration date
11/28/2012
Last updated
11/28/2012
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