Most Relevant Information
Provider Data
| NPI Number: | 1003410283 |
| Provider Name: | PATRICK JAMES HENRY |
| Entity Type: | Individual |
| Taxonomy Code: | 183700000X |
| Specialty: | Pharmacy Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 11/28/2020 |
| Last Updated: | 11/28/2020 |
Provider Practice Location
2920 FITCHRONA RD
FITCHBURG
WI
537191802
Practice Location Phone/Fax
| Phone: | 6082735122 |
| Fax: |
Provider Mailing Location
2355 UNIVERSITY AVE APT D
MADISON
WI
537263838
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |