| Provider / Organization | NPI | Date Certified |
|---|---|---|
| THERESE MARIE LACASSE | 1396333886 | 2021-01-09 |
Therese Marie Lacasse is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1396333886. Registration indicates Therese Marie Lacasse is a provider of services with a specialization in Pharmacy Service Providers, Pharmacist (Pharmacist, ) (Pharmacist, Pharmacy Service Providers)
| Entity Type | Individual |
| Provider Name | Therese Marie Lacasse RPH |
| Practice Office Address | 6701 MINERAL POINT RD MADISON, WI US |
| Practice Office Telephone | 6088334588 |
| Mailing Address | 6701 MINERAL POINT RD MADISON, WI 537054241 US |
| Business Telephone | 6088334588 |
| Code | Practice | License No State |
|---|---|---|
| 183500000X PRIMARY | Pharmacy Service Providers Pharmacist Pharmacist Pharmacist Pharmacy Service Providers | 14582-40
WI |