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Organization

PROVIDENCE PHARMACY & WELLNESS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ROSTIAN N AKPOR-MENSAH PHARMD (MANAGING PHARMACIST)
(414) 305-7131
Entity
Organization

Contact information

Practice address
2500 W SILVER SPRING DR, GLENDALE, WI 53209-4218
(414) 400-0104
(414) 400-0107
Mailing address
1613 E MENLO BLVD, SHOREWOOD, WI 53211-2249
(610) 841-6265

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary

Other

Enumeration date
03/26/2024
Last updated
03/26/2024
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