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NPI Code Detail

MEDICARE: DR. JOANNE MARIE NARUT PHARM.D. R.PH.

MEDICARE: DR. JOANNE MARIE NARUT PHARM.D. R.PH.
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
1183500000XPharmacist9696-040WI

General Provider Information

NPI Number : 1942267471
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOANNE MARIE NARUT PHARM.D. R.PH.
Provider Business Mailing Address
First Line : 1018 GENEVA ST
Second Line :
City : LAKE GENEVA
State : WI
Zip : 53147-1702
Country : US
Telephone Number : 262-903-4130
Fax Number : 262-534-8576
Provider Business Practice Location Address
First Line : 1701 SHARP RD
Second Line :
City : WATERFORD
State : WI
Zip : 53185-5214
Country : US
Telephone Number : 262-534-8540
Fax Number : 262-534-8576
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/27/2006
Last Update Date : 07/08/2007

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