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1790914489
ERIC RONALD LIS
MADISON, WI
NPI
1790914489
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: WI 15544-040)
Enumeration Date
2009-07-02
Last Update Date
2009-07-22
Business Address
-- ERIC RONALD LIS
600 HIGHLAND AVE # F6133 COMPLIANCE MC 2433
MADISON, WI 53792-0001
Phone number: 608-662-0817
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Mailing Address
-- ERIC RONALD LIS
600 HIGHLAND AVE F6/133
MADISON, WI 53792-0001
Phone number: 608-263-1284
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