Individual provider · Type 1 NPI

David Edward Detienne, RPH

Pharmacist · Webster, WI

NPI number 1174663363 Active

Practice location

4404 State Road 70
Webster, WI 54893-9251

Call (715) 349-8554 Map

Mailing address

329 W Wisconsin Ave
Grantsburg, WI 54840-7818

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X11821-040 (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 1174663363

David Edward Detienne, RPH's National Provider Identifier is 1174663363, issued on Feb 7, 2007. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Webster, WI. The record was last updated on Jul 8, 2007.