Prnrx

NPI #1023459484 in New Berlin, Wisconsin

Provider Information

NPI Number
1023459484
Entity Type
Organization
Organization Name
Prnrx
Primary Specialty
Pharmacist
Enumeration Date
Jul 15, 2013
Last Updated
Jul 16, 2013

Practice Location

Address
5478 S WESTRIDGE DR
Address 2
SUITE B
ZIP Code
53151-7948
Phone
(262) 784-9600

Authorized Official

Name
MR. DONALD KOSHAK, R.PH
Title
PHARMACIST
Phone
(262) 784-9600

Specialties & Taxonomy Codes

Specialty
Pharmacist

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