Individual
BRENT DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
2900 W OKLAHOMA AVE, MILWAUKEE, WI 53215-4330
(414) 649-6930
Mailing address
2900 W OKLAHOMA AVE, MILWAUKEE, WI 53215-4330
(414) 649-6930
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
19356-40
WI
Other
Enumeration date
07/05/2018
Last updated
07/05/2018
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