BENJAMIN ISAAC NIEBAUM

EAU CLAIRE, WI
NPI1730465345
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: WI  15998-040)
Enumeration Date2011-10-26
Last Update Date2011-10-26
Business Address
-- BENJAMIN ISAAC NIEBAUM PharmD
1106 W CLAIREMONT AVE
EAU CLAIRE, WI 54701-6124
Phone number: 715-852-0063
Mailing Address
-- BENJAMIN ISAAC NIEBAUM PharmD
2402 RIDGEVIEW DR APT. 302
EAU CLAIRE, WI 54701-7853
Phone number: 763-242-3476
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