Individual provider · Type 1 NPI

Klair Diedrick

Pharmacist · Appleton, WI

NPI number 1154930790 Active

Practice location

3701 E Calumet St
Appleton, WI 54915-4149

Mailing address

2917 Southbreeze Ct
Kaukauna, WI 54130-3587

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X20393 (WI)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

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About NPI 1154930790

Klair Diedrick's National Provider Identifier is 1154930790, issued on Jul 29, 2020. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Appleton, WI. The record was last updated on Jul 29, 2020.