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NPI Code Detail

MEDICARE: DR. ALEX YAMPOLSKY PHARMD

MEDICARE: DR. ALEX YAMPOLSKY 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
11835P0018XPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist15219-40WI

General Provider Information

NPI Number : 1952542508
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ALEX YAMPOLSKY PHARMD
Provider Business Mailing Address
First Line : 3003 W GOOD HOPE RD
Second Line : SUITE 1129
City : MILWAUKEE
State : WI
Zip : 53209-2042
Country : US
Telephone Number : 414-540-9236
Fax Number :
Provider Business Practice Location Address
First Line : 3003 W GOOD HOPE RD
Second Line : SUITE 1129
City : MILWAUKEE
State : WI
Zip : 53209-2042
Country : US
Telephone Number : 414-540-9236
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/11/2009
Last Update Date : 03/11/2009

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