Individual
MR. COREY JAMES PRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
7520 W BLUEMOUND RD, WAUWATOSA, WI 53213-3546
(414) 771-9146
Mailing address
7520 W BLUEMOUND RD, WAUWATOSA, WI 53213-3546
(414) 771-9146
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12637040
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33048400
—
WI
Enumeration date
08/17/2006
Last updated
12/16/2021
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