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Individual

SARAH EMILY BAZURTO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARM D

Contact information

Practice address
8202 EXCELSIOR DR, MAIL ORDER PHARMACY, MADISON, WI 53717-1906
(608) 441-3289
(608) 662-5095
Mailing address
8202 EXCELSIOR DR, MAIL ORDER PHARMACY, MADISON, WI 53717-1906
(608) 441-3289
(608) 662-5095

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14926
WI

Other

Enumeration date
04/28/2011
Last updated
04/28/2011
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