13th Street Pharmacy LLC
NPI #1679835326 in Milwaukee, Wisconsin
Provider Information
- NPI Number
- 1679835326
- Entity Type
- Organization
- Organization Name
- 13th Street Pharmacy LLC
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Jun 8, 2012
- Last Updated
- Dec 3, 2014
Practice Location
Authorized Official
- Name
- RUSSEL SHTIVELBERG
- Title
- MEMBER
- Phone
- (414) 324-9393
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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