Individual
KATHRYN MARIE FORECKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
5301 S 76TH ST, GREENDALE, WI 53129-1128
(414) 978-9019
Mailing address
5301 S 76TH ST, GREENDALE, WI 53129-1128
(414) 978-9019
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14778-40
WI
Other
Enumeration date
10/22/2020
Last updated
10/22/2020
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