Individual
DR. KRISTINE FOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
11111 W BURLEIGH ST, WAUWATOSA, WI 53222-3211
(414) 290-0910
Mailing address
11111 W BURLEIGH ST, WAUWATOSA, WI 53222-3211
(414) 290-0910
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16486-40
WI
Other
Enumeration date
10/19/2016
Last updated
10/19/2016
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