LAWVET FONBAH ASUKWA (NPI# 1447884697) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447884697 |
| Entity Type | Individual |
| Full Name | LAWVET FONBAH ASUKWA |
| Credential | RPH |
| Practice Address |
108 W Wall St Eagle River WI 54521-9811 |
| Practice Telephone | 7154791069 |
| Mailing Telephone | 7154791069 |
| Mailing Fax Number | 7154791370 |
| Enumeration Date | 2020-02-26 |
| Last Update Date | 2020-02-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
19719-40 | WI | Pharmacy Service Providers |
| Street Address |
108 W WALL ST |
| City | EAGLE RIVER |
| State | WI |
| Zip Code | 54521-9811 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952537599 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 108 W Wall St, Eagle River, WI 54521-9811 | 2009-06-10 |
| 1093348831 | Allison Ann Sielicki | Pharmacist | 108 W Wall St, Eagle River, WI 54521-9811 | 2020-02-20 |
| 1194118703 | Whitney Lorenz | Pharmacist | 108 W Wall St, Eagle River, WI 54521-9811 | 2015-03-06 |
| 1083991459 | Deborah Ann Kitch | Pharmacist | 108 W Wall St, Eagle River, WI 54521-9811 | 2011-11-13 |
| 1376828590 | David William Peterson | Pharmacist | 108 W Wall St, Eagle River, WI 54521-9811 | 2011-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851999163 | Michelle Kay Root-mcdaniel | Psychologist | 846 Metaloon Trail, Eagle River, WI 54521 | 2020-10-09 |
| 1609488766 | Laray Alan Thompson | Pharmacist | 123 E Wall St, Eagle River, WI 54521 | 2020-08-20 |
| 1659914059 | Florence E Figueroa | Technician | 1204 Fire Tree Trl., Eagle River, WI 54521 | 2019-10-18 |
| 1366933152 | Kristine Cloutier | Acupuncturist | 109 S Main St., Eagle River, WI 54521 | 2018-05-29 |
| 1669889689 | Bradley Camp | Dentist | 415 East Wall Street, Eagle River, WI 54521 | 2014-07-22 |
| 1407188493 | Robert Edwin Bartos | Surgery | 7890 Sanctuary Drive, Eagle River, WI 54521 | 2010-02-02 |
| 1508013319 | Neal Potrykus | Dentist | 213 N. Railroad St., Eagle River, WI 54521 | 2008-08-22 |
| 1972629848 | Scott David Beattie | Dentist | 415 E Wall St, Eagle River, WI 54521 | 2007-03-22 |
| 1396870432 | Potrykus Family Dentistry LLC | Dentist | 213 N Railroad St, Eagle River, WI 54521 | 2007-02-22 |
| 1053481473 | Redman & Gelinas S C | Eyewear Supplier (Equipment, not the service) | 141 B South Willow Street, Eagle River, WI 54521 | 2006-11-09 |
| Find all providers in zip 54521 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316560311 | Sarah Seward | Pharmacist | 6737 W Washington St Ste 4300, West Allis, WI 53214-5651 | 2020-05-26 |
| 1861025371 | Addie Marie Littrell | Pharmacist | 624 S Church Street, Pharmacy Department, Watertown, WI 53094 | 2020-02-13 |
| 1528544798 | Sarah A Abraham | Pharmacist | 3801 N Richmond St, Appleton, WI 54913-9631 | 2018-07-11 |
| 1497280218 | Dennis Alfred Malone Jr. | Pharmacist | 211 Ramsland St, Westby, WI 54667-1031 | 2017-04-30 |
| 1871980193 | Alan R Rosenthal | Pharmacist | 6930 N Beech Tree Dr, Milwaukee, WI 53209 | 2015-04-24 |
| 1831586700 | Erika Aldag | Pharmacist | 235 E Pittsburgh Ave Apt 310, Milwaukee, WI 53204-4335 | 2015-04-18 |
| 1245629716 | Donald Lee Michalski | Pharmacist | 1 Classic Cir, Madison, WI 53719-4437 | 2015-01-21 |
| 1467840801 | Pooja Arora | Pharmacist | 7545 Tree Ln Apt 102g, Madison, WI 53717-2185 | 2015-01-08 |
| 1750650453 | Patricia Fowler | Pharmacist | 5054 Valley Heights Rd, Oshkosh, WI 54904-9354 | 2011-12-26 |
| 1740565217 | Tracy Ann Junker | Pharmacist | 2717 E Denton Ave, Saint Francis, WI 53235-5447 | 2011-10-17 |
| Find all providers with the same taxonomy | ||||
| City | EAGLE RIVER |
| Zip Code | 54521 |
Please comment or provide details below to improve the information on LAWVET FONBAH ASUKWA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.