IndividualActive
Alex Breister
NPI 1306557202 · Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · Fond Du Lac, WI
Provider details
- NPI number
- 1306557202
- Entity type
- Individual
- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPharmacy Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 21487-40 (WI)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
760 W Johnson St
Fond Du Lac, WI 54935-2016
Phone: (920) 929-7422
Approximate (ZIP-level) locationGet directions
Mailing address
760 W Johnson St
Fond Du Lac, WI 54935-2016
Registry dates
- Enumerated
- 2022-12-12
- Last updated
- 2022-12-12
- Certified
- 2022-12-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.