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1073619276
DAVID A VANDERTIE
MADISON, WI
NPI
1073619276
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: WI 9312-040)
Enumeration Date
2006-09-15
Last Update Date
2007-07-08
Business Address
-- DAVID A VANDERTIE R.Ph.
2500 OVERLOOK TER PHARMACY
MADISON, WI 53705-2254
Phone number: 608-156-1901
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Mailing Address
-- DAVID A VANDERTIE R.Ph.
838 TERRY PL
MADISON, WI 53711-1957
Phone number: 608-233-8177
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