Lawvet Fonbah Asukwa, RPH
Individual provider Active NPI Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · Eagle River, WI
NPI 1447884697 · NPPES record last updated Feb 26, 2020
Key facts
- NPI
- 1447884697
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X
- License
- 19719-40 (WI)
- Practice address
- 108 W Wall St
Eagle River, WI 54521-9811 - Phone
- (715) 479-1069
- NPI assigned
- Feb 26, 2020
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
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 |
|---|---|---|---|
| 19719-40 | WI | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current |
Accepting new patients | |
| Walgreen Co | Past |
Accepting new patients |
Locations
108 W Wall St
Eagle River, WI 54521
Phone (715) 479-1069
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 19719-40 | WI | Yes |
Addresses
Primary practice location
108 W Wall St
Eagle River, WI 54521-9811
Mailing address
108 W Wall St
Eagle River, WI 54521-9811
Phone (715) 479-1069
Other providers in Eagle River, WI
- Aspirus Eagle River Hospital & Clinics, Inc.
- Aspirus Eagle River Hospital & Clinics, Inc.
- Aspirus Eagle River Hospital, Inc
- Aspirus Eagle River Hospital, Inc.
- Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc.
- Randall L Athens
- Kris Ann Barnekow
- Scott David Beattie
- Marianne Bergs
- Jill K Brunstad
All providers in Eagle River, WI · Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 26, 2020. 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.