Organization
DEL MAR PHARMACY SC
Active
Other names
Midtown Pharmacy 3
Organization subpart
No
Provider details
NPI number
Authorized official
VIPUL PATEL (OWNER)
(414) 220-0620
Entity
Organization
Contact information
Practice address
1000 S CESAR E CHAVEZ DR, MILWAUKEE, WI 53204-2203
(414) 220-0620
(414) 369-4301
Mailing address
1000 S CESAR E CHAVEZ DR, MILWAUKEE, WI 53204-2203
(414) 220-0620
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9542-42
BOARD OF PHARMACY
WI
Enumeration date
12/28/2018
Last updated
05/07/2019
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