Individual
MACKENZIE SPLITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7525 SHERIDAN RD, KENOSHA, WI 53143-4182
(262) 652-2396
Mailing address
7525 SHERIDAN RD, KENOSHA, WI 53143-4182
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
22028
WI
Other
Enumeration date
09/20/2022
Last updated
09/20/2022
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