Individual provider · NPI-1

Danielle Dietz, PharmD

Pharmacist · Middleton, WI

NPI number1922632884
StatusActive
Last updated in NPPESFeb 28, 2020

Details

NPI
1922632884
Entity type
Individual (NPI-1)
Name
Danielle Dietz
Credential
PharmD
Sex
Female
Sole proprietor
No
Enumeration date
Feb 28, 2020
Certification date
Feb 28, 2020
Last updated
Feb 28, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X Pharmacist19438-40WIYes

Practice location

2010 Branch St
Middleton, WI 53562-3026

Phone 608-831-6548

Mailing address

2010 Branch St
Middleton, WI 53562-3026

Phone 608-831-6548

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