Individual
SHARON JOSEPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3500 BRUMBACK BLVD, KENOSHA, WI 53144-4816
(262) 652-1458
Mailing address
3500 BRUMBACK BLVD, KENOSHA, WI 53144-4816
(262) 652-1458
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17309-40
WI
Other
Enumeration date
10/14/2020
Last updated
10/14/2020
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