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1114903572
BENJAMIN JAMES WEITZEL
LAKE GENEVA, WI
NPI
1114903572
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: WI 13635-040)
Enumeration Date
2005-12-19
Last Update Date
2007-07-08
Business Address
-- BENJAMIN JAMES WEITZEL Pharm D.
351 N EDWARDS BLVD
LAKE GENEVA, WI 53147-4563
Phone number: 262-248-7885
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Mailing Address
-- BENJAMIN JAMES WEITZEL Pharm D.
N7728 PLEASANT LAKE RD
ELKHORN, WI 53121-2761
Phone number: 262-642-3326
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