Kelsey M Huber, RPH

Individual provider Active NPI Pharmacist · Prairie Du Chien, WI

NPI 1760899892 · NPPES record last updated Feb 22, 2020

Key facts

NPI
1760899892
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
17519-40 (WI)
Practice address
109 N Marquette Rd
Prairie Du Chien, WI 53821-1512
Phone
(608) 326-0581
Fax
(608) 326-0586
NPI assigned
Jul 21, 2014
Sex
Female
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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

LicenseStateTypeSpecialty
17519-40WIMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Walgreen Co Current
since Mar 13, 2022
Accepting new patients
Walgreen Co Past
since Mar 1, 2020
Accepting new patients

Locations

109 N Marquette Rd
Prairie du Chien, WI 53821
Phone (608) 326-0581

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 17519-40 WI Yes

Addresses

Primary practice location

109 N Marquette Rd
Prairie Du Chien, WI 53821-1512

Mailing address

109 N Marquette Rd
Prairie Du Chien, WI 53821-1512
Phone (608) 326-0581

Other names

  • Kelsey M Mezera Former name

Other providers in Prairie Du Chien, WI

All providers in Prairie Du Chien, WI · Pharmacist in Wisconsin

Sources for this page

Verify at the official NPI Registry.