AMANDA LEA WEGENKA

LA CROSSE, WI
NPI1346575503
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: WI  15643-40)
Additional Taxonomies183500000X Pharmacist
(Licence: MN  119551)
183500000X Pharmacist
(Licence: IA  20886)
Enumeration Date2009-10-06
Last Update Date2024-02-07
Business Address
AMANDA LEA WEGENKA PharmD
1900 SOUTH AVE H01-005
LA CROSSE, WI 54601-5467
Phone number: 608-775-3701
Mailing Address
AMANDA LEA WEGENKA PharmD
1836 SOUTH AVE # H01-005
LA CROSSE, WI 54601-5429
Phone number: 608-782-7300