MEDICARE: RONALD DROBAC, TOSA PHARMACY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	7713-040	WI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	5116810	OTHER	WI	NABP
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1245395169
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RONALD DROBAC, TOSA PHARMACY

Provider Business Mailing Address
First Line	:	9235 W CAPITOL DR
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53222-1567
Country	:	US
Telephone Number	:	414-462-1700
Fax Number	:	414-462-4170

Provider Business Practice Location Address
First Line	:	9235 W CAPITOL DR
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53222-1567
Country	:	US
Telephone Number	:	414-462-1700
Fax Number	:	414-462-4170

Authorized Official
Title or Position	:	PHARMACIST-OWNER
Name	:	MR. RONALD DROBAC
Credential	:	R. PH.
Telephone Number	:	414-462-1700

Provider Enumeration Date	:	12/22/2006
Last Update Date	:	08/01/2008

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