Individual
RAVEN JULIUS SANDIFER JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
2323 N LAKE DR, MILWAUKEE, WI 53211-4508
(414) 291-1068
(414) 291-1073
Mailing address
2323 N LAKE DR, MILWAUKEE, WI 53211-4508
(414) 291-1068
(414) 291-1073
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15167-40
WI
Other
Enumeration date
04/11/2012
Last updated
04/11/2012
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