Individual
KAREN JEAN MACKINNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8701 W WATERTOWN PLANK RD, MILWAUKEE, WI 53226-3548
(414) 955-2856
Mailing address
8618 222ND CT, SALEM, WI 53168-9077
(262) 945-5278
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1430740
WI
Other
Enumeration date
10/23/2020
Last updated
08/04/2021
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