Individual
MRS. SANDRA MARIE WUCKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
N65W25055 MAIN ST, SUSSEX, WI 53089-2671
(262) 820-0750
(262) 820-1015
Mailing address
355 WESTLYN CT, HARTLAND, WI 53029-8556
(262) 369-0196
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14571-040
WI
Other
Enumeration date
11/16/2011
Last updated
11/16/2011
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