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NPI Code Detail

MEDICARE: COLLINS ENWEREM PHARMD

MEDICARE: COLLINS ENWEREM 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
1183500000XPharmacist69292TX

General Provider Information

NPI Number : 1447918024
Entity Type Code : Individual
Provider Name (Legal Business Name) : COLLINS ENWEREM PHARMD
Provider Business Mailing Address
First Line : 5251 BISHOPS BAY PKWY APT 217
Second Line :
City : MIDDLETON
State : WI
Zip : 53597-8843
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2500 OVERLOOK TER
Second Line :
City : MADISON
State : WI
Zip : 53705-2254
Country : US
Telephone Number : 281-728-7469
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/01/2021
Last Update Date : 12/01/2021

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Directions to “ COLLINS ENWEREM PHARMD” Practice Location

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