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NPI Code Detail

MEDICARE: ALEX C BERCE PHARMD

MEDICARE:   ALEX C BERCE  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
1183500000XPharmacist1666340WI

General Provider Information

NPI Number : 1306287354
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEX C BERCE PHARMD
Provider Business Mailing Address
First Line : 9916 75TH ST STE 103
Second Line :
City : KENOSHA
State : WI
Zip : 53142-7583
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 730 N PLANKINTON AVE UNIT 4B
Second Line :
City : MILWAUKEE
State : WI
Zip : 53203-2405
Country : US
Telephone Number : 262-925-0201
Fax Number : 262-925-8373
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/07/2013
Last Update Date : 07/07/2013

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Directions to “ ALEX C BERCE PHARMD” Practice Location

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