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NPI Code Detail

MEDICARE: BRYCE MAPHIS PHARMD

MEDICARE: BRYCE MAPHIS 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
1183500000XPharmacist15989-040WI

General Provider Information

NPI Number : 1962779637
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRYCE MAPHIS PHARMD
Provider Business Mailing Address
First Line : 6030 W OKLAHOMA AVE
Second Line :
City : MILWAUKEE
State : WI
Zip : 53219-4133
Country : US
Telephone Number : 414-327-1010
Fax Number : 414-327-2836
Provider Business Practice Location Address
First Line : 6030 W OKLAHOMA AVE
Second Line :
City : MILWAUKEE
State : WI
Zip : 53219-4133
Country : US
Telephone Number : 414-327-1010
Fax Number : 414-327-2836
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/24/2011
Last Update Date : 11/24/2011

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Directions to “ BRYCE MAPHIS PHARMD” Practice Location

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