Individual
JOSEPH HENRY IV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
8850 WILLIAM COFFEY DR, MILWAUKEE, WI 53226-1264
(414) 805-6575
Mailing address
8850 WILLIAM COFFEY DR, MILWAUKEE, WI 53226-1264
(414) 805-6575
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
18386
WI
1835P2201X
Ambulatory Care Pharmacist
Primary
18386-40
WI
Other
Enumeration date
06/15/2018
Last updated
06/14/2024
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