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ALANA CLAIRE BONGARD PHARMD

>> Pharmacist >> Pharmacy Service Providers

Registrant NPI Number: 1467799619

Individual Registrant:
 ALANA CLAIRE BONGARD PHARMD
Gender: F
Sole Proprietor

Location and contact information for practice:
522 OAK ST  BARABOO, WI 53913-2424 US
Tel: 608-356-8701  Fax: --

Contact information for business:
522 OAK ST  BARABOO, WI 53913-2424 US
Tel: --  Fax: --

Registration Information:
NPI: 1467799619
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y183500000XPharmacy Service Providers
Pharmacist
WI16341-40

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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