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LISA PETRACK PHARMD
NPI 1689082893
Pharmacist in Abbotsford, WI

Active since July 31, 2014
1011 E SPRUCE ST, ABBOTSFORD, WI 54405(715) 223-4494(715) 223-2663 Get Directions Write a Review

NPPES record last updated: July 31, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Lisa Petrack Pharmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LISA PETRACK PHARMD (NPI 1689082893) is an individual pharmacist in Abbotsford, Wisconsin, licensed in Wisconsin (17596-40) and active in the NPI registry since July 2014.

NPPES Registry Identity

NPI1689082893
Entity TypeIndividualFemale
Primary Taxonomy183500000X
Provider Legal NameLISA PETRACKCredential: PHARMD
Location Address1011 E SPRUCE STAbbotsford, WI 54405-9647
Mailing Address1011 E Spruce StAbbotsford, WI 54405-9647 · (715) 223-4494 · Fax (715) 223-2663
Phone(715) 223-4494
Fax(715) 223-2663
Sole ProprietorYes
Enumeration DateJuly 31, 2014
✔ NPI 1689082893 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License✔ Licensed in WI · 17596-40
Definition
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.
1011 E SPRUCE ST, Abbotsford, WI 54405
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Other Names 1

Former Name (1)Lisa Marie Gratto

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHOPKO STORES OPERATING CO LLC
Pharmacy (Community/Retail Pharmacy)
1011 E SPRUCE ST
ABBOTSFORD, WI 54405
Marathon County (715) 223-2480
ALPINE MEDICAL EQUIPMENT LLC
Durable Medical Equipment & Medical Supplies
1011 E SPRUCE ST
ABBOTSFORD, WI 54405
Marathon County (715) 316-0056
PAMIDA STORES OPERATING CO LLC
Pharmacy (Community/Retail Pharmacy)
1011 E SPRUCE ST
ABBOTSFORD, WI 54405
Marathon County (715) 223-2480
MR. DAVID JOSEPH WUNROW RPH
Pharmacist
1011 E SPRUCE ST
ABBOTSFORD, WI 54405
Marathon County (715) 223-4494

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lisa Petrack's NPI number?

The NPI number for Lisa Petrack is 1689082893. It was assigned to this individual provider in the NPPES registry on July 31, 2014. The provider is also known as Lisa Marie Gratto.

Where is Lisa Petrack located?

Lisa Petrack practices at 1011 E Spruce St, Abbotsford, WI 54405. The listed phone number is (715) 223-4494.

What is Lisa Petrack's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Lisa Petrack was last updated on July 31, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.