Individual
NICHOLAS MOSCARDELLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4301 LIEN RD, MADISON, WI 53704-3608
(608) 819-1911
Mailing address
4301 LIEN RD, MADISON, WI 53704-3608
(608) 819-1911
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
20521-40
WI
Other
Enumeration date
05/21/2021
Last updated
05/21/2021
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