Individual
MRS. BISRAT OQUBAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6901 W EDGERTON AVE, GREENFIELD, WI 53220-4420
(414) 325-5236
Mailing address
6901 W EDGERTON AVE, GREENFIELD, WI 53220-4420
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11284
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11284-40
PHARMACY
WI
Enumeration date
01/20/2016
Last updated
01/17/2020
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