Individual
JUSTIN PAUL KONKOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D., BCPS
Contact information
Practice address
9200 W WISCONSIN AVE, DEPARTMENT OF PHARMACY SERVICES, MILWAUKEE, WI 53226-3522
(414) 805-4009
(414) 805-8715
Mailing address
9200 W WISCONSIN AVE, DEPARTMENT OF PHARMACY SERVICES, MILWAUKEE, WI 53226-3522
(414) 805-4009
(414) 805-8715
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
14722-40
WI
Other
Enumeration date
06/21/2012
Last updated
06/21/2012
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