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NPI 1083990733

IndividualActive

Bryan Lichtfuss, PHARMACIST

NPI 1083990733 · Pharmacist · Menasha, WI

Provider details

NPI number: 1083990733
Entity type: Individual
Primary specialty: PharmacistPharmacy Service Providers
Credential: PHARMACIST
Sex: Male
Sole proprietor: No
License: 14972-40 (WI)

Practice location

305 Racine St

Menasha, WI 54952-2359

Phone: (920) 722-4759

Fax: (920) 722-3197

More WI providers

Mailing address

305 Racine St

Menasha, WI 54952-2359

Registry dates

Enumerated: 2011-10-26
Last updated: 2011-10-26

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Bryan Lichtfuss, PHARMACIST — NPI 1083990733, Menasha, WI | NPI Central