Peggy Ann Prohaska, RPH
Individual provider Active NPI Pharmacist · Park Falls, WI
NPI 1013194992 · NPPES record last updated Jan 23, 2008
Key facts
- NPI
- 1013194992
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 8107 (WI)
- Practice address
- 138 2ND Ave N
Park Falls, WI 54552-1214 - Phone
- (715) 762-3283
- Fax
- (715) 762-2980
- NPI assigned
- Jan 23, 2008
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8107 | WI | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 8107 | WI | Yes |
Addresses
Primary practice location
138 2ND Ave N
Park Falls, WI 54552-1214
Mailing address
138 2ND Ave N
Park Falls, WI 54552-1214
Phone (715) 762-3283
Other providers in Park Falls, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 23, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.