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Patricia N Ikem

Pharmacist in Watertown, WI. Individual provider (NPI-1).

NPI number1235763582
StatusActive
Last updated in NPPESFeb 25, 2020

Details

NPI
1235763582
Entity type
Individual (NPI-1)
Name
Patricia N Ikem
Sex
Female
Sole proprietor
No
Enumeration date
Feb 25, 2020
Certification date
Feb 25, 2020
Last updated
Feb 25, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X Pharmacist18691WIYes

Practice location

301 W Main St
Watertown, WI 53094-7629

Phone 920-206-9588 · Fax 920-206-9702

Mailing address

301 W Main St
Watertown, WI 53094-7629

Phone 920-206-9588 · Fax 920-206-9702

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