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Charles Wiatr

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

NPI number1659979367
StatusActive
Last updated in NPPESOct 14, 2020

Details

NPI
1659979367
Entity type
Individual (NPI-1)
Name
Mr. Charles Wiatr
Sex
Male
Sole proprietor
No
Enumeration date
Oct 14, 2020
Certification date
Oct 14, 2020
Last updated
Oct 14, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X Pharmacist1213740WIYes

Practice location

2222 Crest View Dr
Hudson, WI 54016-9487

Phone 715-386-1345

Mailing address

2222 Crest View Dr
Hudson, WI 54016-9487

Phone 715-386-1345

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