Laura Hantak, PHARMD

NPI 1366796856 · on the registry since 2012 · sole proprietor

Practice

Address: 1709 S 18th Ave
West Bend, WI 53095
Phone: (262) 338-6444
Fax: (262) 338-3635
Organisation at this address: Home Care Medical, Inc
Berry Pharmacy And Wellness Services Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy: 183500000X
183500000X
Licence states on file: WI
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2012-11-05

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin