Whalio Doctors

NPI 1023362282

Lisa Wicker, RPH

Practitioner Pharmacist Green Bay, WI

Practice location

Address
1630 Commanche Ave, Green Bay, WI 54313-5753
Phone
(920) 430-4555

Registered specialties

Pharmacist Primary
Pharmacy Service Providers Taxonomy 183500000X Licence 11469-40 (WI)

Registry record

NPI
1023362282
Entity type
Individual
Sex (as registered)
Female
NPI issued
8 Nov 2012
Record last updated
8 Nov 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.