NPI 1114369345

Carly Hartman, PHARMD

Practitioner Pharmacist Mequon, WI

Practice location

Address: 5508 W Donges Bay Rd, Mequon, WI 53092-4423
Phone: (574) 320-5484

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 1717440 (WI)

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Registry record

NPI: 1114369345
Entity type: Individual
Sex (as registered): Female
NPI issued: 30 Jul 2013
Record last updated: 30 Jul 2013

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.