Individual
MARIAM MOZAFFAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1921 S MAIN ST, WEST BEND, WI 53095-5206
(262) 338-1156
(262) 338-2497
Mailing address
1921 S MAIN ST, WEST BEND, WI 53095-5206
(262) 338-1156
(262) 338-2497
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15755-040
WI
Other
Enumeration date
11/23/2011
Last updated
11/23/2011
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