Healthcare Provider Details

I. General information

NPI: 1851204309
Provider Name (Legal Business Name): DIJANA ZENELAY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/25/2026
Last Update Date: 09/25/2026
Certification Date: 09/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1650 N FARWELL AVE
MILWAUKEE WI
53202-2331
US

IV. Provider business mailing address

1650 N FARWELL AVE
MILWAUKEE WI
53202-2331
US

V. Phone/Fax

Practice location:
  • Phone: 708-582-4373
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number23671-40
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: