Individual
KATHLEEN REKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.PH.
Contact information
Practice address
N65W24838 MAIN ST # 400, SUSSEX, WI 53089-2670
(262) 820-0200
(262) 820-0243
Mailing address
N65W24838 MAIN ST # 400, SUSSEX, WI 53089-2670
(262) 820-0200
(262) 820-0243
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
8819
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1396185278
NPI
WI
01
—
5133804
NCPDP
WI
Enumeration date
12/02/2013
Last updated
12/02/2013
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