| Mr David Edward Detienne, RPH | |
|
4404 State Road 70, Webster, WI 54893-9251 | |
| (715) 349-8554 | |
| Not Available |
| Full Name | Mr David Edward Detienne |
|---|---|
| Gender | Male |
| Speciality | Pharmacist |
| Location | 4404 State Road 70, Webster, Wisconsin |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174663363 | NPI | - | NPPES |
| 11821-040 | Other | WI | WISCONS PHARMACIST LICENS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 183500000X | Pharmacist | 11821-040 (Wisconsin) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr David Edward Detienne, RPH 329 W Wisconsin Ave, Grantsburg, WI 54840-7818 Ph: (715) 463-3743 | Mr David Edward Detienne, RPH 4404 State Road 70, Webster, WI 54893-9251 Ph: (715) 349-8554 |
James C Olson, Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 7438 Main St W, Webster, WI 54893 Phone: 715-866-8644 Fax: 715-866-7344 | |
Dr. Erica Kristen Paffel, PHARM.D. Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 7438 Main St W, Webster, WI 54893 Phone: 715-866-8644 Fax: 715-866-7344 | |
Kiah Weseli, PHARMD Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 4404 Wi 70, Webster, WI 54893 Phone: 715-866-8644 | |
Mrs. Tiffany Marie Herring, PHARMD Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 7438 Main St W, Webster, WI 54893 Phone: 715-866-8644 Fax: 715-866-7344 | |
Amber Heinz, PHARMD Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 7438 Main St W, Webster, WI 54893 Phone: 715-866-8644 | |
Dr. Emily Jane Zajac, PHARMD Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 7438 Main St W, Webster, WI 54893 Phone: 715-866-8644 Fax: 715-866-7344 |