Individual
JUSTIN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6705 S 27TH ST, FRANKLIN, WI 53132-9430
(414) 304-1255
Mailing address
2321 RUSTIC WOODS CT, WAUKESHA, WI 53188-2690
(414) 339-8542
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18458-40
WI
Other
Enumeration date
03/08/2020
Last updated
03/08/2020
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