Individual
DR. RACHEL WANTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
5000 W NATIONAL AVE, MILWAUKEE, WI 53295-0001
(414) 384-2000
Mailing address
509 N 112TH ST, WAUWATOSA, WI 53226-4131
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18890-40
WI
Other
Enumeration date
06/30/2017
Last updated
06/30/2017
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