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Individual

ODELIS COLON COLON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
5301 S 76TH ST, GREENDALE, WI 53129-1128
(414) 978-9019
Mailing address
2049 S 72ND ST, WEST ALLIS, WI 53219-1208

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2328740
WI

Other

Enumeration date
11/18/2025
Last updated
11/18/2025
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