Mr. David Edward Detienne
Pharmacist
4404 State Road 70, Webster
Wisconsin, 54893-9251
715-349-8554 Mr. David Edward Detienne is a pharmacist in Webster, Wisconsin. Patients can reach him at 4404 State Road 70, Webster or contact him on 715-349-8554. Active license number of Mr. David Edward Detienne is 11821-040 for Pharmacist in Wisconsin.
Mr. David Edward Detienne is an individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
Complete Profile:
Mr. David Edward Detienne speciality, credentials, practice address, contact phone number and fax are as below. Patients can call on the below given phone number for enquiries.
| Name: | Mr. David Edward Detienne |
| Specialization: | Pharmacist |
| Credentials: | RPH |
| Gender: | Male |
| Location: | 4404 State Road 70, Webster,
Wisconsin, 54893-9251 |
| Phone: | 715-349-8554 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of Mr. David Edward Detienne are as mentioned below.
| NPI Number: | 1174663363 |
| NPI Enumeration Date: | 07 Feb, 2007 |
| NPI Last Update On: | 08 Jul, 2007 |
Medical Licenses:
Pharmacists can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mr. David Edward Detienne are as mentioned below.
| Specialization | License Number | State | Status | |
| Pharmacist | 11821-040 | Wisconsin | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Mr. David Edward Detienne such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 11821-040 | Other | Wisconsin | Wiscons Pharmacist Licens |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 329 W Wisconsin Ave,
Grantsburg, Wisconsin |
| Zip: | 54840-7818 |
| Phone Number: | 715-463-3743 |
Patients can reach Mr. David Edward Detienne at
4404 State Road 70, Webster, Wisconsin or can
call on phone at 715-349-8554.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.