Lisa Petrack, PHARMD is a
Pharmacist based in Abbotsford, Wisconsin. Lisa Petrack is licensed to practice in Wisconsin (license number 17596-40) and her current practice location is
1011 E Spruce St, Abbotsford, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(715) 223-4494.
NPI number for Lisa Petrack is 1689082893 and her current mailing address is 1011 E Spruce St, Abbotsford, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1689082893.
Healthcare Provider's Profile
Full Name | Lisa Petrack |
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Gender | Female |
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Speciality | Pharmacist |
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Location | 1011 E Spruce St, Abbotsford, Wisconsin |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1689082893
- Provider Enumeration Date: 07/31/2014
- Last Update Date: 07/31/2014
Medical Identifiers
Medical identifiers for Lisa Petrack such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1689082893 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
183500000X | Pharmacist | 17596-40 (Wisconsin) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Lisa Petrack is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Lisa Petrack, PHARMD 1011 E Spruce St, Abbotsford, WI 54405-9647 Ph: (715) 223-4494 | Lisa Petrack, PHARMD 1011 E Spruce St, Abbotsford, WI 54405-9647 Ph: (715) 223-4494 |
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