Shizuki Ide, PHARMACIST

NPI #1932966520 in Shorewood, Wisconsin

Provider Information

NPI Number: 1932966520
Entity Type: Individual
Name: Shizuki Ide, PHARMACIST
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: PHARMACIST
Enumeration Date: Mar 1, 2024
Last Updated: Mar 1, 2024

Practice Location

Address: 4035 N OAKLAND AVE
City: Shorewood
State: Wisconsin
ZIP Code: 53211-2356
Phone: (414) 961-2001

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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