Wayne Hustad, R.PH.

NPI #1346524048 in Cudahy, Wisconsin

Provider Information

NPI Number: 1346524048
Entity Type: Individual
Name: Wayne Hustad, R.PH.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Credential: R.PH.
Enumeration Date: Sep 29, 2011
Last Updated: Sep 29, 2011

Practice Location

Address: 6241 S PACKARD AVE
City: Cudahy
State: Wisconsin
ZIP Code: 53110-3031
Phone: (414) 762-9717

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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