Individual
TAYLOR LEE PAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
10101 W GREENFIELD AVE STE 130, WEST ALLIS, WI 53214
(414) 533-6600
Mailing address
1702 SPRUCE CT, SOUTH MILWAUKEE, WI 53172-1045
(224) 280-6433
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
19998-40
WI
Other
Enumeration date
07/24/2019
Last updated
07/24/2019
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