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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. WILLIAM J SUPALLA, RPH

Active

MR. WILLIAM J SUPALLA, RPH is a Pharmacist healthcare provider located in FAIRMONT, Minnesota. NPI 1760520373 is currently active in the NPPES registry. Verify at CMS.

Pharmacist · FAIRMONT, MN

Registration Details

NPI Number
1760520373
Provider Type
Individual
Gender
Male
NPI Issued
Feb 3, 2007 (19.504162797563 yrs)
Last Updated
Jul 8, 2007
License
111504-6 (MN)

Practice Information

Address
322 S STATE ST
FIVE LAKES CENTRE
FAIRMONT, MN, 560314139
Browse MN providers · Browse ZIP 56031
Phone
5072382797
Fax
5072384701
Primary Specialty
Pharmacist
183500000X

Other Pharmacist Providers in FAIRMONT, MN

Name Credential NPI
SUSAN RENEE ROSENAU PHARM D 1346388428
SARA LOUISE KOLBE PHARMD 1831379619
DR. JACOB PETER REUTER PHARMD 1417231788
KELLY COWELL 1184900482
ALAN G SIEBERT RPH 1225315112
DEBRA KAY ROGGOW RPH 1710264593
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.