Derek Loch, RPH | |
15481 Commercial Rd, Lakewood, WI 54138-9677 | |
(715) 276-3646 | |
Not Available |
Full Name | Derek Loch |
---|---|
Gender | Male |
Speciality | Pharmacist |
Location | 15481 Commercial Rd, Lakewood, Wisconsin |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1871224261 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
183500000X | Pharmacist | 21184 (Wisconsin) | Primary |
Mailing Address | Practice Location Address |
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Derek Loch, RPH 15481 Commercial Rd, Lakewood, WI 54138-9677 Ph: () - | Derek Loch, RPH 15481 Commercial Rd, Lakewood, WI 54138-9677 Ph: (715) 276-3646 |
Mr. Michael W Wixom, RPH Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 15481 Commercial Rd, Lakewood, WI 54138 Phone: 715-276-3646 Fax: 715-276-9568 | |
Mr. Gary A Donaldson, RPH Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 15481 Commercial Rd, Lakewood, WI 54138 Phone: 715-276-3646 Fax: 715-276-9568 |