Individual
SARAH FANTL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
2900 W OKLAHOMA AVE, MILWAUKEE, WI 53215-4330
(414) 649-6930
Mailing address
6054 FOX RUN LN, MOUNT PLEASANT, WI 53406-1516
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
19876-40
WI
Other
Enumeration date
07/01/2019
Last updated
08/07/2024
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