Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Laura Marie Hantak, PHARMD

Individual provider Pharmacist · NPI 1366796856

Dr. Laura Marie Hantak, PHARMD is a Pharmacist in West Bend, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2012
What do these letters mean?
PHARMD — Doctor of Pharmacy
The professional degree required to practise as a pharmacist in the United States.

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Practice location Address checks out

1709 S 18th Ave
West Bend, WI 53095-7808
Phone: (262) 338-6444
Fax: (262) 338-3635
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 16007 (WI)

Record details

NPI number1366796856
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHARMD
Sole proprietorYes
NPI enumeratedNovember 5, 2012
Last updated in NPPESNovember 5, 2012

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