Individual
DR. CORMAC KEHOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
2555 N DR MARTIN LUTHER KING DR, PHARMACY, MILWAUKEE, WI 53212-2709
(414) 267-3708
Mailing address
2011 N PROSPECT AVE, #14, MILWAUKEE, WI 53202-1148
(414) 405-2090
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14352-040
WI
Other
Enumeration date
04/16/2007
Last updated
07/08/2007
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