Individual
DR. BENJAMIN DAVID KLUGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD, MBA
Contact information
Practice address
11111 W BURLEIGH RD, WAUWATOSA, WI 53222
(414) 290-0910
Mailing address
11111 W BURLEIGH ST, WAUWATOSA, WI 53222-3211
(414) 290-0910
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18692-40
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18692-40
PHARMACIST LICENSE
WI
Enumeration date
12/13/2016
Last updated
12/13/2016
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