Individual
CHELSEA ALEXANDRA LODGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
7025 W MAIN ST, MILWAUKEE, WI 53214-1664
(414) 203-0683
(414) 203-0679
Mailing address
7025 W MAIN ST, MILWAUKEE, WI 53214-1664
(414) 203-0683
(414) 203-0679
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18414-40
WI
Other
Enumeration date
10/13/2020
Last updated
10/13/2020
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