Supalla, William J

Supalla, William J is an individual health care provider with primary practice located at 322 S State St Five Lakes Centre, Fairmont MN 56031-4139. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Supalla, William J can be contacted via phone (507) 238-2797.

Contact Information

Primary practice address
322 S State St Five Lakes Centre Fairmont MN 56031-4139
Phone: (507) 238-2797
Fax: (507) 238-4701
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 111504-6 Minnesota

Profile Details

NPI number 1760520373
LBN Legal business name Supalla, William J
Credentials RPH
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 3rd, 2007
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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