Individual
ELAINE DRIDI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.PH.
Contact information
Practice address
N83W15550 APPLETON AVE, MENOMONEE FALLS, WI 53051-3714
(262) 253-5056
(262) 253-5529
Mailing address
N53W14315 ABERDEEN DR, MENOMONEE FALLS, WI 53051-6826
(262) 417-8517
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12965-040
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12965-040
WI PHARMACIST LICENSE #
WI
Enumeration date
12/18/2020
Last updated
12/18/2020
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