Individual
AMY RAFALOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 E MAIN ST UNIT 328, WAUKESHA, WI 53186-5071
(262) 424-9943
Mailing address
100 E MAIN ST UNIT 328, WAUKESHA, WI 53186-5071
(262) 424-9943
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16615-40
WI
Other
Enumeration date
02/03/2015
Last updated
02/03/2015
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