Individual
KEVIN J HAVELKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
15650 W GREENFIELD AVE, BROOKFIELD, WI 53005-6905
(262) 786-3692
Mailing address
15650 W GREENFIELD AVE, BROOKFIELD, WI 53005-6905
(262) 786-3692
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11230
WI
Other
Enumeration date
09/27/2011
Last updated
09/27/2011
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