Mark Rudolph Selle, RPH

NPI #1144494238 in West Bend, Wisconsin

Provider Information

NPI Number
1144494238
Entity Type
Individual
Name
Mark Rudolph Selle, RPH
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Pharmacist
Credential
RPH
Enumeration Date
Apr 18, 2008
Last Updated
Oct 18, 2012

Practice Location

Address
5595 COUNTY ROAD Z
Address 2
CEDAR LAKE CAMPUS PHARMACY
ZIP Code
53095-9224
Phone
(262) 306-2140

Specialties & Taxonomy Codes

Specialty
Pharmacist

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