Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LISA PETRACK, PHARMD
Active Sole ProprietorLISA PETRACK, PHARMD is a Pharmacist healthcare provider located in ABBOTSFORD, Wisconsin. NPI 1689082893 is currently active in the NPPES registry. Verify at CMS.
Pharmacist · ABBOTSFORD, WI
Registration Details
- NPI Number
- 1689082893
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 31, 2014 (12.032312993214 yrs)
- Last Updated
- Jul 31, 2014
- License
-
17596-40 (WI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1011 E SPRUCE STABBOTSFORD, WI, 544059647Browse WI providers · Browse ZIP 54405
- Phone
- 7152234494
- Fax
- 7152232663
- Primary Specialty
-
Pharmacist
183500000X
Other Pharmacist Providers in ABBOTSFORD, WI
| Name | Credential | NPI |
|---|---|---|
| MR. DAVID JOSEPH WUNROW | RPH | 1477807949 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.