NATHANAEL JOSEPH PEATY

MADISON, WI
NPI1265505051
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: WI  14517-040)
Additional Taxonomies183500000X Pharmacist
(Licence: NC  17907)
Enumeration Date2006-11-17
Last Update Date2007-07-08
Business Address
-- NATHANAEL JOSEPH PEATY
600 HIGHLAND AVE COMPLIANCE MAIL CODE 2433
MADISON, WI 53792-0001
Phone number: 608-662-0817
Mailing Address
-- NATHANAEL JOSEPH PEATY
600 HIGHLAND AVE COMPLIANCE MAIL CODE 2433
MADISON, WI 53792-0001
Phone number: 608-662-0817