Organization
PRNRX
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONALD KOSHAK R.PH (PHARMACIST)
(262) 784-9600
Entity
Organization
Contact information
Practice address
5478 S WESTRIDGE DR, SUITE B, NEW BERLIN, WI 53151-7948
(262) 784-9600
(262) 784-9605
Mailing address
5478 S WESTRIDGE DR, SUITE B, NEW BERLIN, WI 53151-7948
(262) 784-9600
(262) 784-9605
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
9211-42
WI
Other
Enumeration date
07/15/2013
Last updated
07/16/2013
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