Individual provider · Type 1 NPI

Mike Prodoehl

Pharmacist · Fond Du Lac, WI

NPI number 1750772547 Active

Practice location

760 W Johnson St
Fond Du Lac, WI 54935-2016

Specialties and licenses

Taxonomy	Code	License
Pharmacist Primary	183500000X	16103-40 (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…

7 other providers at this address

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About NPI 1750772547

Mike Prodoehl's National Provider Identifier is 1750772547, issued on Feb 15, 2015. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Fond Du Lac, WI. The record was last updated on Feb 15, 2015.