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NPI Code Detail

MEDICARE: MRS. RESTINA POLOVIC R.PH.

MEDICARE:  MRS. RESTINA  POLOVIC  R.PH.
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
1183500000XPharmacist16607WI
2183500000XPharmacist051287012IL
3183500000XPharmacist26019351AIN
4183500000XPharmacist16607-40WI

General Provider Information

NPI Number : 1851634687
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. RESTINA POLOVIC R.PH.
Provider Business Mailing Address
First Line : 2950 S CHASE AVE
Second Line :
City : MILWAUKEE
State : WI
Zip : 53207-6407
Country : US
Telephone Number : 414-483-1190
Fax Number :
Provider Business Practice Location Address
First Line : 2950 S CHASE AVE
Second Line :
City : MILWAUKEE
State : WI
Zip : 53207-6407
Country : US
Telephone Number : 414-483-1190
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/29/2013
Last Update Date : 07/09/2025

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Directions to “ MRS. RESTINA POLOVIC R.PH.” Practice Location

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