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Individual

MRS. NADRA R BOTROS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RPH

Contact information

Practice address
ZABLOCKI DEPARTMENT OF VETERAN AFFAIRS MEDICAL CTR, 5000 WEST NATIONAL AVENUE, MILWAUKEE, WI 53295-0001
(414) 384-2000
(313) 389-4276
Mailing address
191 W FAIRFIELD CT, OAK CREEK, WI 53154
(414) 762-7073

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12833
WI

Other

Enumeration date
09/22/2006
Last updated
07/08/2007
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