Individual provider · Type 1 NPI

Laura Marie Hantak, PharmD

Pharmacist · West Bend, WI

NPI number 1366796856 Active

Practice location

1709 S 18th Ave
West Bend, WI 53095-7808

Fax (262) 338-3635

Specialties and licenses

Taxonomy	Code	License
Pharmacist Primary	183500000X	16007 (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 1366796856

Laura Marie Hantak, PharmD's National Provider Identifier is 1366796856, issued on Nov 5, 2012. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in West Bend, WI. The record was last updated on Nov 5, 2012.