Sally Fongaro, RPH
NPI #1912304700 in West Milwaukee, Wisconsin
Provider Information
- NPI Number
- 1912304700
- Entity Type
- Individual
- Name
- Sally Fongaro, RPH
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Pharmacist
- Credential
- RPH
- Enumeration Date
- Nov 23, 2014
- Last Updated
- Nov 23, 2014
Practice Location
- Address
- 1501 MILLER PARK WAY
- City
- West Milwaukee
- State
- Wisconsin
- ZIP Code
- 53214-3654
- Phone
- (414) 203-0107
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
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