Individual
MRS. LILLIE R BOBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
1020 N 12TH ST, MILWAUKEE, WI 53233-1308
(414) 219-7963
(414) 219-7964
Mailing address
1020 N 12TH ST, MILWAUKEE, WI 53233-1308
(414) 219-7963
(414) 219-7964
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1186040
WI
Other
Enumeration date
03/21/2013
Last updated
03/21/2013
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