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Mike Prodoehl
Pharmacist in Fond Du Lac, Wisconsin
NPI 1750772547

Mike Prodoehl is a Pharmacist based in Fond Du Lac, WI. Mike Prodoehl practices in Fond Du Lac, WI. The NPI Number for Mike Prodoehl is 1750772547 and holds a License No. 16103-40 (Wisconsin).

The current practice location address for Mike Prodoehl is 760 W Johnson St, Fond Du Lac, WI and can be reached out via phone at 920-929-7422.

Location: 760 W Johnson St, Fond Du Lac, WI, 54935-2016
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1750772547
Provider Name
Mike Prodoehl
Credential
Provider Entity Type
Individual
Gender
Male
Address
760 W Johnson St, Fond Du Lac, WI, 54935-2016
Phone Number
920-929-7422
Fax Number
Provider Enumeration Date
02/15/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
760 W Johnson St
City
Fond Du Lac
State
Wisconsin
Zip
54935-2016
Phone Number
920-929-7422
Fax Number
person
Provider Business Mailing Address Details
Address
760 W Johnson St
City
Fond Du Lac
State
Wisconsin
Zip
54935-2016
Phone Number
920-929-7422
Fax Number
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
16103-40 (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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