EDWARD LEE KOSTLEVY

NEILLSVILLE, WI
NPI1992146906
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: WI  8497-00)
Enumeration Date2013-07-08
Last Update Date2013-07-08
Business Address
Mr. EDWARD LEE KOSTLEVY R.Ph.
1008 E DIVISION ST
NEILLSVILLE, WI 54456-2121
Phone number: 715-743-6632
Mailing Address
Mr. EDWARD LEE KOSTLEVY R.Ph.
1008 E DIVISION ST
NEILLSVILLE, WI 54456-2121
Phone number: 715-743-6632