AMANDA KLOS

EAU CLAIRE, WI
NPI1184032856
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: WI  17811-40)
Additional Taxonomies183500000X Pharmacist
(Licence: MN  121888)
Enumeration Date2014-07-25
Last Update Date2015-08-04
Business Address
-- AMANDA KLOS
3649 S HASTINGS WAY
EAU CLAIRE, WI 54701-8182
Phone number: 715-838-0196
Mailing Address
-- AMANDA KLOS
3649 S HASTINGS WAY
EAU CLAIRE, WI 54701-8182
Phone number: