NPI 1083990907

Rhett R Koski

Practitioner Pharmacist Fond Du Lac, WI

Practice location

Address: 20 W Pioneer Rd, Fond Du Lac, WI 54935-6152
Phone: (920) 907-0556
Fax: (920) 907-0639

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 14348-40 (WI)

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Registry record

NPI: 1083990907
Entity type: Individual
Sex (as registered): Male
NPI issued: 24 Oct 2011
Record last updated: 24 Oct 2011

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.