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NPI Code Detail

MEDICARE: MS. LAURIE A FERAN-HALVERSON RPH

MEDICARE:  MS. LAURIE A FERAN-HALVERSON  RPH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist11390-40WI

General Provider Information

NPI Number : 1982949277
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. LAURIE A FERAN-HALVERSON RPH
Provider Business Mailing Address
First Line : 2545 AMYS BND
Second Line :
City : RACINE
State : WI
Zip : 53402-5505
Country : US
Telephone Number : 262-681-3037
Fax Number :
Provider Business Practice Location Address
First Line : 4801 WASHINGTON AVE
Second Line :
City : RACINE
State : WI
Zip : 53406-4219
Country : US
Telephone Number : 262-637-8444
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/28/2012
Last Update Date : 11/28/2012

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Directions to “ MS. LAURIE A FERAN-HALVERSON RPH” Practice Location

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