Individual
SUSAN KAYE OGNACEVIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
9220 W GREENFIELD AVE, WEST ALLIS, WI 53214-2730
(414) 456-9228
(414) 456-0882
Mailing address
404 N 49TH ST, MILWAUKEE, WI 53208-3628
(414) 430-1218
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10471-40
WI
Other
Enumeration date
03/04/2020
Last updated
03/04/2020
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