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NPI Code Detail

MEDICARE: JAMES S OSIELSKI RPH

MEDICARE: JAMES S OSIELSKI RPH
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
1183500000XPharmacist11529-40WI

General Provider Information

NPI Number : 1326315995
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMES S OSIELSKI RPH
Provider Business Mailing Address
First Line : 13945 W BROOK HOLLOW CT
Second Line :
City : NEW BERLIN
State : WI
Zip : 53151-8334
Country : US
Telephone Number : 414-482-3515
Fax Number : 414-482-9680
Provider Business Practice Location Address
First Line : 3109 S KINNICKINNIC AVE
Second Line :
City : MILWAUKEE
State : WI
Zip : 53207-2935
Country : US
Telephone Number : 414-482-3515
Fax Number : 414-482-9680
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/25/2011
Last Update Date : 11/25/2011

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