Individual
MS. MAUREEN NASH AUGUSTINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6118 W BLUEMOUND RD, MILWAUKEE, WI 53213-4143
(414) 771-5606
Mailing address
6118 W BLUEMOUND RD, MILWAUKEE, WI 53213-4143
(414) 771-5606
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11792-40
WI
183500000X
Pharmacist
RP030753L
PA
Other
Enumeration date
10/07/2011
Last updated
10/07/2011
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