Keith Wayne Herold
Keith Wayne Herold is a Pharmacist in Green Bay, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.
- Licensed in
- WI
- In the registry since
- 2020
Practice location Address checks out
2440 W Mason StGreen Bay, WI 54303-4711
Phone: (920) 499-2330
Fax: (920) 499-1136
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pharmacist (primary) | Taxonomy 183500000X · Licence 12269-040 (WI) |
|---|
Record details
| NPI number | 1265031595 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | October 19, 2020 |
| Last updated in NPPES | November 3, 2020 |
| Certification date | November 3, 2020 |
| Mailing address | 2080 Sweetfern Dr, Green Bay, WI 54313-4366 |
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