NPI 1114203809

Lori Sue Pachefsky, RPH

Practitioner Pharmacist Fond Du Lac, WI

Practice location

Address: 192 N Main St, Fond Du Lac, WI 54935-3462
Phone: (920) 921-5264
Fax: (920) 921-2760
Mailing address: 4475 Club Dr, Slinger, WI 53086-9720

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 10383 (WI)

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Registry record

NPI: 1114203809
Entity type: Individual
Sex (as registered): Female
NPI issued: 26 Oct 2011
Record last updated: 26 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.