Nicholas Stack, B.S. IN PHARMACY

NPI #1295108967 in Cudahy, Wisconsin

Provider Information

NPI Number: 1295108967
Entity Type: Individual
Name: Nicholas Stack, B.S. IN PHARMACY
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: B.S. IN PHARMACY
Enumeration Date: Nov 3, 2015
Last Updated: Nov 3, 2015

Practice Location

Address: 5851 S PACKARD AVE
City: Cudahy
State: Wisconsin
ZIP Code: 53110-2615
Phone: (414) 744-6058

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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