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NPI Code Detail

MEDICARE: ELIZABETH FOX

MEDICARE: ELIZABETH FOX
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
1183500000XPharmacist20434-40WI

General Provider Information

NPI Number : 1962000794
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH FOX
Provider Business Mailing Address
First Line : 2501 WEST AVE
Second Line :
City : RICE LAKE
State : WI
Zip : 54868-6000
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2501 WEST AVE
Second Line :
City : RICE LAKE
State : WI
Zip : 54868-6000
Country : US
Telephone Number : 715-234-2997
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/14/2020
Last Update Date : 10/14/2020

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Directions to “ ELIZABETH FOX ” Practice Location

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