MEDICARE: DEBBIE SADE ISIEKWENE PHARMD

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	1854640	WI

General Provider Information

NPI Number	:	1083244685
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEBBIE SADE ISIEKWENE PHARMD

Provider Business Mailing Address
First Line	:	5715 W APPLETON AVE
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53210-2250
Country	:	US
Telephone Number	:	414-988-2188
Fax Number	:

Provider Business Practice Location Address
First Line	:	5715 W APPLETON AVE
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53210-2250
Country	:	US
Telephone Number	:	414-988-2188
Fax Number	:	414-988-2187

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/22/2020
Last Update Date	:	01/22/2020

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