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NPI Code Detail

MEDICARE: SYLVIA WINTER PHARMACIST

MEDICARE: SYLVIA WINTER PHARMACIST
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
1183500000XPharmacist9289WI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
19289OTHERWIPHARMACIST LICENSE NUMBER

General Provider Information

NPI Number : 1962582064
Entity Type Code : Individual
Provider Name (Legal Business Name) : SYLVIA WINTER PHARMACIST
Provider Business Mailing Address
First Line : 3023 S 84TH ST
Second Line :
City : WEST ALLIS
State : WI
Zip : 53227-3703
Country : US
Telephone Number : 414-607-4100
Fax Number : 414-607-4502
Provider Business Practice Location Address
First Line : 3023 S 84TH ST
Second Line :
City : WEST ALLIS
State : WI
Zip : 53227-3703
Country : US
Telephone Number : 414-607-4100
Fax Number : 414-607-4502
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/16/2006
Last Update Date : 07/08/2007

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