Organization
OKLAHOMA AVE PHARMACY INC
Active
Other names
Midtown Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DHARMESH GHELANI PHARM D (PRESIDENT)
(414) 800-4070
Entity
Organization
Contact information
Practice address
5200 W OKLAHOMA AVE STE 101, MILWAUKEE, WI 53219-4501
(414) 800-4070
(414) 800-4068
Mailing address
5200 W OKLAHOMA AVE STE 101, MILWAUKEE, WI 53219-4501
(414) 800-4070
(414) 800-4068
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10089-42
PHARMACY EXAMINING BOARD
WI
Enumeration date
09/04/2024
Last updated
09/04/2024
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