Individual
SUSAN R HANOSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
221 E SUNSET DR, WAUKESHA, WI 53189-7603
(262) 542-3981
Mailing address
221 E SUNSET DR, WAUKESHA, WI 53189-7603
(262) 542-3981
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12472
WI
Other
Enumeration date
11/13/2011
Last updated
11/13/2011
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