Individual
KAITLIN RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2900 W OKLAHOMA AVE, MILWAUKEE, WI 53215-4330
(414) 649-6930
Mailing address
1820 BRIXHAM LN, JOHNSBURG, IL 60051-9699
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
051298933
IL
183500000X
Pharmacist
Primary
18214-40
WI
Other
Enumeration date
01/23/2020
Last updated
01/23/2020
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