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1538552401
MARK MENNICKE
MADISON, WI
NPI
1538552401
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: WI 9989-40)
Enumeration Date
2015-03-16
Last Update Date
2015-03-16
Business Address
Mr. MARK MENNICKE RPh
3700 UNIVERSITY AVE
MADISON, WI 53705-2144
Phone number: 608-238-7109
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Mailing Address
Mr. MARK MENNICKE RPh
3700 UNIVERSITY AVE
MADISON, WI 53705-2144
Phone number: 608-238-7109
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