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Mr. Kenneth D Simon
Pharmacist in La Crosse, Wisconsin
NPI 1497008239

Kenneth D Simon is a Pharmacist based in Dakota, WI. Kenneth D Simon practices in La Crosse, WI. The NPI Number for Kenneth D Simon is 1497008239 and holds a License No. 114107 (Wisconsin).

The current practice location address for Kenneth D Simon is 2511 Green Bay St, La Crosse, WI and can be reached out via phone at 608-775-8585.

Location: 2511 Green Bay St, La Crosse, WI, 55925-7171
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1497008239
Provider Name
Kenneth D Simon
Credential
Provider Entity Type
Individual
Gender
Male
Address
2511 Green Bay St, La Crosse, WI, 55925-7171
Phone Number
608-775-8585
Fax Number
Provider Enumeration Date
10/17/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2511 Green Bay St
City
La Crosse
State
Wisconsin
Zip
54601-5900
Phone Number
608-775-8585
Fax Number
person
Provider Business Mailing Address Details
Address
2511 Green Bay St
City
La Crosse
State
Wisconsin
Zip
54601-5900
Phone Number
608-775-8585
Fax Number
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
114107 (Minnesota)
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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