Individual provider · Type 1 NPI
Leonora Mitre
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · Fond Du Lac, WI
NPI number
1174390967
Active
Practice location
55 W Pioneer Rd
Fond Du Lac, WI 54935-6151
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist Primary | 1835P0018X | 21526-40 (WI) |
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist: Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management.
2 other providers at this address
Other pharmacist clinician (phc)/ clinical pharmacy specialist providers in Fond Du Lac
- Alex D. BreisterPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist Fond Du Lac, WI NPI 1306557202
- Jacob Thomas Cannestra, PharmDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist Fond Du Lac, WI NPI 1467134635
- Aaron Jacob MuchenbergerPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist Fond Du Lac, WI NPI 1538054085
- Thomas Jackson Jung, PharmDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist Fond Du Lac, WI NPI 1649164781
- Casey ChemerPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist Fond Du Lac, WI NPI 1811646870
About NPI 1174390967
Leonora Mitre's National Provider Identifier is 1174390967, issued on Dec 11, 2023. The primary taxonomy on file is Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (1835P0018X), and the practice location is in Fond Du Lac, WI. The record was last updated on Jun 18, 2026.