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NPI Code Detail

MEDICARE: RONALD A PERZ RPH

MEDICARE: RONALD A PERZ 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
1183500000XPharmacist9363-040WI

General Provider Information

NPI Number : 1881603231
Entity Type Code : Individual
Provider Name (Legal Business Name) : RONALD A PERZ RPH
Provider Business Mailing Address
First Line : 810 MARYANN LN
Second Line :
City : GREEN BAY
State : WI
Zip : 54313-6975
Country : US
Telephone Number : 920-360-0540
Fax Number :
Provider Business Practice Location Address
First Line : 464 CARDINAL LN
Second Line :
City : GREEN BAY
State : WI
Zip : 54313-9569
Country : US
Telephone Number : 920-661-9355
Fax Number : 920-661-9309
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/05/2006
Last Update Date : 01/13/2021

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Directions to “ RONALD A PERZ RPH” Practice Location

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