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NPI Code Detail

MEDICARE: ALEXANDER OTTE PHARMD

MEDICARE: ALEXANDER OTTE PHARMD
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
1183500000XPharmacist18791WI

General Provider Information

NPI Number : 1528589801
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEXANDER OTTE PHARMD
Provider Business Mailing Address
First Line : 29444 STATE HIGHWAY 131
Second Line :
City : NORWALK
State : WI
Zip : 54648-8121
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 500 E VETERANS ST
Second Line :
City : TOMAH
State : WI
Zip : 54660-3105
Country : US
Telephone Number : 608-372-3971
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/27/2017
Last Update Date : 01/20/2026

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Directions to “ ALEXANDER OTTE PHARMD” Practice Location

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