Individual
MR. ROGER J HARGREAVES JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
W227N6103 SUSSEX RD, SUSSEX, WI 53089-3969
(414) 566-8005
(414) 566-8015
Mailing address
W290N7396 BARK RIVER CT, HARTLAND, WI 53029-8339
(262) 894-7753
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13107
WI
Other
Enumeration date
09/23/2011
Last updated
09/22/2025
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