| Derek Loch, RPH | |
|
15481 Commercial Rd, Lakewood, WI 54138-9677 | |
| (715) 276-3646 | |
| Not Available |
| Full Name | Derek Loch |
|---|---|
| Gender | Male |
| Speciality | Pharmacist |
| Location | 15481 Commercial Rd, Lakewood, Wisconsin |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871224261 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 183500000X | Pharmacist | 21184 (Wisconsin) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Derek Loch, RPH 15481 Commercial Rd, Lakewood, WI 54138-9677 Ph: () - | Derek Loch, RPH 15481 Commercial Rd, Lakewood, WI 54138-9677 Ph: (715) 276-3646 |
Mr. Michael W Wixom, RPH Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 15481 Commercial Rd, Lakewood, WI 54138 Phone: 715-276-3646 Fax: 715-276-9568 | |
Mr. Gary A Donaldson, RPH Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 15481 Commercial Rd, Lakewood, WI 54138 Phone: 715-276-3646 Fax: 715-276-9568 |