Individual
NATHAN HAROLD PECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9400 HWY 16 TARGET-T0620, ONALASKA, WI 54650
(608) 779-5780
Mailing address
9400 HWY 16 TARGET-T0620, ONALASKA, WI 54650
(608) 779-5780
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
124628
MN
183500000X
Pharmacist
Primary
20058-40
WI
Other
Enumeration date
05/13/2021
Last updated
05/13/2021
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