Individual
MOHAMMED ALI MEMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
3355 S 27TH ST, MILWAUKEE, WI 53215-4303
(414) 383-1522
Mailing address
4963 S 55TH ST APT 103, GREENFIELD, WI 53220-5312
(773) 512-1505
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18146-40
WI
Other
Enumeration date
11/10/2020
Last updated
11/10/2020
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