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Mr. David Edward Detienne, RPH
Pharmacist in Webster, Wisconsin
NPI 1174663363

David Edward Detienne is a Pharmacist based in Grantsburg, WI. David Edward Detienne practices in Webster, WI and has the professional credentials of RPH. The NPI Number for David Edward Detienne is 1174663363 and holds a License No. 11821-040 (Wisconsin).

The current practice location address for David Edward Detienne is 4404 State Road 70, Webster, WI and can be reached out via phone at 715-349-8554.

Location: 4404 State Road 70, Webster, WI, 54840-7818
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1174663363
Provider Name
David Edward Detienne
Credential
RPH
Provider Entity Type
Individual
Gender
Male
Address
4404 State Road 70, Webster, WI, 54840-7818
Phone Number
715-349-8554
Fax Number
Provider Enumeration Date
02/07/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
11821-040 01 WI WISCONS PHARMACIST LICENS
institution
Provider Business Practice Location Address Details
Address
4404 State Road 70
City
Webster
State
Wisconsin
Zip
54893-9251
Phone Number
715-349-8554
Fax Number
person
Provider Business Mailing Address Details
Address
4404 State Road 70
City
Webster
State
Wisconsin
Zip
54893-9251
Phone Number
715-349-8554
Fax Number
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
11821-040 (Wisconsin)
Definition
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, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
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