MR. DAVID DETIENNE, RPH
Pharmacist
Active
Individual
NPI: 1174663363
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Pharmacist | 183500000X | Yes | 11821-040 (WI) |
Frequently Asked Questions
NPI 1174663363 is the National Provider Identifier for MR. DAVID DETIENNE, RPH, a Pharmacist provider located in Webster, WI. This NPI was enumerated on February 7, 2007.
MR. DAVID DETIENNE, RPH practices at 4404 STATE ROAD 70, Webster, WI 54893.
Quick Facts
- NPI
- 1174663363
- Type
- Individual
- Enumerated
- Feb 7, 2007
- Last Updated
- Jul 8, 2007
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