Lisa Wicker, RPH - Pharmacist in Green Bay, WI

Lisa Wicker, RPH is a Pharmacist based in Green Bay, Wisconsin. Lisa Wicker is licensed to practice in Wisconsin (license number 11469-40) and her current practice location is 1630 Commanche Ave, Green Bay, Wisconsin. She can be reached at her office (for appointments etc.) via phone at (920) 430-4555.

NPI number for Lisa Wicker is 1023362282 and her current mailing address is 1630 Commanche Ave, Green Bay, Wisconsin. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1023362282.

Contact Information

Lisa Wicker, RPH
1630 Commanche Ave,
Green Bay, WI 54313-5753
(920) 430-4555
Not Available

Healthcare Provider's Profile

Full NameLisa Wicker
GenderFemale
SpecialityPharmacist
Location1630 Commanche Ave, Green Bay, Wisconsin
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1023362282
  • Provider Enumeration Date: 11/08/2012
  • Last Update Date: 11/08/2012

Medical Identifiers

Medical identifiers for Lisa Wicker such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023362282NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
183500000XPharmacist 11469-40 (Wisconsin)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Lisa Wicker is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Lisa Wicker, RPH
1630 Commanche Ave,
Green Bay, WI 54313-5753

Ph: () -
Lisa Wicker, RPH
1630 Commanche Ave,
Green Bay, WI 54313-5753

Ph: (920) 430-4555

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› Verified 5 days ago


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