Individual
ALISA LARA MAHINAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(224) 656-7430
Mailing address
32000 N ROCKWELL DR, LAKEMOOR, IL 60051-6604
(224) 656-7430
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
23484-40
WI
Other
Enumeration date
07/10/2026
Last updated
07/10/2026
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