Individual
MR. RANDALL LEO ASUNTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
ZABLOCKI DEPT OF VETERANS AFFAIRS MEDICAL CTR, 5000 WEST NATIONAL AV, MILWAUKEE, WI 53295-0001
(414) 384-2000
(414) 389-4276
Mailing address
W147N5095 DOLPHIN DR, MENOMONEE FALLS, WI 53051-6900
(262) 781-0743
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
9000-040
WI
Other
Enumeration date
07/18/2006
Last updated
07/08/2007
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