Colleen Kom

NPI #1407480809 in Waterford, Wisconsin

Provider Information

NPI Number
1407480809
Entity Type
Individual
Name
Colleen Kom
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Pharmacist
Enumeration Date
Feb 25, 2020
Last Updated
Feb 25, 2020

Practice Location

Address
900 E MAIN ST
ZIP Code
53185-4536
Phone
(262) 514-4290

Specialties & Taxonomy Codes

Specialty
Pharmacist

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