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NPI Code Detail

MEDICARE: DR. KAYLA LYNN WASEMILLER PHARMD

MEDICARE:  DR. KAYLA LYNN WASEMILLER  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
1183500000XPharmacist18132-40WI

General Provider Information

NPI Number : 1477929289
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KAYLA LYNN WASEMILLER PHARMD
Provider Business Mailing Address
First Line : 1501 MILLER PARK WAY
Second Line :
City : MILWAUKEE
State : WI
Zip : 53214-3654
Country : US
Telephone Number : 414-203-0107
Fax Number :
Provider Business Practice Location Address
First Line : 1501 MILLER PARK WAY
Second Line :
City : MILWAUKEE
State : WI
Zip : 53214-3654
Country : US
Telephone Number : 414-203-0107
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/15/2015
Last Update Date : 08/15/2015

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Directions to “ DR. KAYLA LYNN WASEMILLER PHARMD” Practice Location

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