Healthcare Provider Details

I. General information

NPI: 1447162227
Provider Name (Legal Business Name): MARWAN ALEHMOUD PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/17/2026
Last Update Date: 09/17/2026
Certification Date: 09/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5000 W CHAMBERS ST
MILWAUKEE WI
53210-1650
US

IV. Provider business mailing address

11221 SYNERGY DR # 420B
WAUWATOSA WI
53222-1353
US

V. Phone/Fax

Practice location:
  • Phone: 414-447-2000
  • Fax:
Mailing address:
  • Phone: 708-691-9553
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number23161-40
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: