Individual
MRS. PHUENG CHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
515 22ND AVE, MONROE, WI 53566-1569
(608) 324-2000
Mailing address
6339 PHEASANT LN, APT 76, MIDDLETON, WI 53562-2244
(414) 469-9276
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16830-40
WI
Other
Enumeration date
03/22/2013
Last updated
03/22/2013
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