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NPI Code Detail

MEDICARE: BORIS REMPEL PHARMD.

MEDICARE: BORIS REMPEL 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
1183500000XPharmacist17691-40WI

General Provider Information

NPI Number : 1275930059
Entity Type Code : Individual
Provider Name (Legal Business Name) : BORIS REMPEL PHARMD.
Provider Business Mailing Address
First Line : 1758 LUDINGTON AVE
Second Line :
City : WAUWATOSA
State : WI
Zip : 53226-2837
Country : US
Telephone Number : 414-704-1592
Fax Number :
Provider Business Practice Location Address
First Line : 1123 N VAN BUREN ST
Second Line :
City : MILWAUKEE
State : WI
Zip : 53202-3269
Country : US
Telephone Number : 414-347-9219
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/22/2014
Last Update Date : 11/22/2014

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Directions to “ BORIS REMPEL PHARMD.” Practice Location

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